DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN
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2023
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205332096
|
2024-09-24
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DR. ROBERT GROSSMAN, MD, PLLC
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2
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2024-09-24 |
Name of individual signing |
ROBERT GROSSMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN
|
2023
|
205332096
|
2024-09-02
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2024-09-02 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN
|
2022
|
205332096
|
2023-09-27
|
DR. ROBERT GROSSMAN, MD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2023-09-27 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN
|
2022
|
205332096
|
2023-09-28
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN
|
2021
|
205332096
|
2022-10-03
|
DR. ROBERT GROSSMAN, MD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN
|
2021
|
205332096
|
2022-10-03
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2022-10-03 |
Name of individual signing |
ROBERT GROSSMAN |
|
Role |
Employer/plan sponsor |
Date |
2022-10-03 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN
|
2020
|
205332096
|
2021-10-12
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
ROBERT GROSSMAN |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN
|
2020
|
205332096
|
2021-09-14
|
DR. ROBERT GROSSMAN, MD, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2021-09-14 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC CASH BALANCE PLAN
|
2019
|
205332096
|
2020-10-06
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
ROBERT GROSSMAN |
|
|
DR. ROBERT GROSSMAN, MD, PLLC 401(K) PLAN
|
2019
|
205332096
|
2020-09-28
|
DR. ROBERT GROSSMAN, MD, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2019-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
9178053241
|
Plan sponsor’s
address |
925 PARK AVENUE, SUITE 1B, NEW YORK, NY, 10028
|
Signature of
Role |
Plan administrator |
Date |
2020-09-28 |
Name of individual signing |
ROBERT GROSSMAN |
|
|