USD 401(K) PLAN
|
2018
|
205208718
|
2019-07-11
|
UNITED SLEEP DIAGNOSTICS, INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5167340427
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2019-07-11 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2019-07-11 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2017
|
205208718
|
2018-07-10
|
UNITED SLEEP DIAGNOSTICS, INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5167340427
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2018-07-10 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2016
|
205208718
|
2017-07-28
|
UNITED SLEEP DIAGNOSTICS, INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5167340427
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2015
|
205208718
|
2016-07-12
|
UNITED SLEEP DIAGNOSTICS, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5167340427
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2016-07-12 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2014
|
205208718
|
2015-03-04
|
UNITED SLEEP DIAGNOSTICS, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5167340427
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2015-03-02 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2015-03-04 |
Name of individual signing |
BRIAN FAL55640 |
|
|
USD 401(K) PLAN
|
2013
|
205208718
|
2014-08-04
|
UNITED SLEEP DIAGNOSTICS, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5169928700
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2013
|
205208718
|
2014-08-11
|
UNITED SLEEP DIAGNOSTICS, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5169928700
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2014-08-11 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2012
|
205208718
|
2013-07-24
|
UNITED SLEEP DIAGNOSTICS, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5169928700
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2011
|
205208718
|
2014-08-04
|
UNITED SLEEP DIAGNOSTICS, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5169928700
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Plan administrator’s name and address
Administrator’s EIN |
205208718 |
Plan administrator’s name |
UNITED SLEEP DIAGNOSTICS, INC |
Plan administrator’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312 |
Administrator’s telephone number |
5169928700 |
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
|
USD 401(K) PLAN
|
2010
|
205208718
|
2014-08-04
|
UNITED SLEEP DIAGNOSTICS, INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621498
|
Sponsor’s telephone number |
5169928700
|
Plan sponsor’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312
|
Plan administrator’s name and address
Administrator’s EIN |
205208718 |
Plan administrator’s name |
UNITED SLEEP DIAGNOSTICS, INC |
Plan administrator’s
address |
50 ROSE PL, GARDEN CITY PARK, NY, 110405312 |
Administrator’s telephone number |
5169928700 |
Signature of
Role |
Plan administrator |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
Role |
Employer/plan sponsor |
Date |
2014-08-04 |
Name of individual signing |
BRIAN FALGOUST |
|
|