JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN
|
2023
|
204004156
|
2024-07-19
|
JAY M. KORNGOLD, MD, P. C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2024-07-19 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN
|
2022
|
204004156
|
2023-07-13
|
JAY M. KORNGOLD, MD, P. C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
TRUDY DESCARFINO |
|
Role |
Employer/plan sponsor |
Date |
2023-07-13 |
Name of individual signing |
JAY KORNGOLD |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN
|
2021
|
204004156
|
2022-07-13
|
JAY M. KORNGOLD, MD, P. C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2022-07-13 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN
|
2020
|
204004156
|
2021-04-15
|
JAY M. KORNGOLD, MD, P. C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2021-04-15 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN
|
2019
|
204004156
|
2020-05-18
|
JAY M. KORNGOLD, MD, P. C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2020-05-18 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVING SAVINGS PLAN
|
2018
|
204004156
|
2019-10-07
|
JAY M. KORNGOLD, MD, P. C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2019-10-07 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN
|
2017
|
204004156
|
2018-06-28
|
JAY M. KORNGOLD, MD, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
TRUDY DESCARFINO |
|
|
JAY M. KORNGOLD, MD, P.C. 401(K) RETIREMENT SAVINGS PLAN
|
2016
|
204004156
|
2017-10-10
|
JAY M. KORNGOLD, MD, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8456344554
|
Plan sponsor’s
address |
125 SOUTH MAIN STREET, NEW CITY, NY, 10956
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
TRUDY DESCARFINO |
|
|