PLATTSBURGH HEALTH CENTER 401(K) PROFIT SHARING PLAN
|
2023
|
205396995
|
2024-09-12
|
PLATTSBURGH MEDICAL CARE PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
5185785032
|
Plan sponsor’s
address |
675 STATE ROUTE 3, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2024-09-12 |
Name of individual signing |
SHIRLEY HORNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PLATTSBURGH HEALTH CENTER 401(K) PROFIT SHARING PLAN
|
2022
|
205396995
|
2023-09-11
|
PLATTSBURGH MEDICAL CARE PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
5185785032
|
Plan sponsor’s
address |
675 STATE ROUTE 3, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2023-09-11 |
Name of individual signing |
NICK RICE |
|
|
PLATTSBURGH HEALTH CENTER 401(K) PROFIT SHARING PLAN
|
2021
|
205396995
|
2022-09-22
|
PLATTSBURGH MEDICAL CARE PLLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
5185785032
|
Plan sponsor’s
address |
675 STATE ROUTE 3, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
NICK RICE |
|
|
PLATTSBURGH HEALTH CENTER 401(K) PROFIT SHARING PLAN
|
2020
|
205396995
|
2021-07-19
|
PLATTSBURGH MEDICAL CARE PLLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
5185785032
|
Plan sponsor’s
address |
675 STATE ROUTE 3, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
SHIRLEY HORNER |
|
|
PLATTSBURGH HEALTH CENTER 401(K) PROFIT SHARING PLAN
|
2019
|
205396995
|
2020-09-06
|
PLATTSBURGH MEDICAL CARE PLLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
524150
|
Sponsor’s telephone number |
5185785032
|
Plan sponsor’s
address |
675 STATE ROUTE 3, PLATTSBURGH, NY, 12901
|
Signature of
Role |
Plan administrator |
Date |
2020-09-06 |
Name of individual signing |
SHIRLEY HORNER |
|
|
PLATTSBURGH HEALTH CENTER 401K PROFIT SHARING PLAN
|
2009
|
141775855
|
2010-09-07
|
PLATTSBURGH MEDICAL CARE, PLLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5185660672
|
Plan sponsor’s
address |
675 ROUTE 3, PLATTSBURGH, NY, 129016562
|
Plan administrator’s name and address
Administrator’s EIN |
141775855 |
Plan administrator’s name |
PLATTSBURGH MEDICAL CARE, PLLC |
Plan administrator’s
address |
675 ROUTE 3, PLATTSBURGH, NY, 129016562 |
Administrator’s telephone number |
5185660672 |
Signature of
Role |
Plan administrator |
Date |
2010-09-07 |
Name of individual signing |
GLENN SCHROYER |
|
|