UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2014
|
364604674
|
2015-03-02
|
UPSTATE HEMATOLOGY ONCOLOGY
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183394074
|
Plan sponsor’s
address |
212 MENLO PARK ROAD, NISKAYUNA, NY, 123096703
|
Signature of
Role |
Plan administrator |
Date |
2015-03-02 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2015-03-02 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2013
|
364604674
|
2014-06-06
|
UPSTATE HEMATOLOGY ONCOLOGY
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5188363030
|
Plan sponsor’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2014-06-06 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2014-06-06 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2012
|
364604674
|
2013-07-15
|
UPSTATE HEMATOLOGY ONCOLOGY
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5188363030
|
Plan sponsor’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2011
|
364604674
|
2012-07-05
|
UPSTATE HEMATOLOGY ONCOLOGY
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5188363030
|
Plan sponsor’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309
|
Plan administrator’s name and address
Administrator’s EIN |
364604674 |
Plan administrator’s name |
UPSTATE HEMATOLOGY ONCOLOGY |
Plan administrator’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309 |
Administrator’s telephone number |
5188363030 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2012-07-05 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2010
|
364604674
|
2011-07-12
|
UPSTATE HEMATOLOGY ONCOLOGY
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5188363030
|
Plan sponsor’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309
|
Plan administrator’s name and address
Administrator’s EIN |
364604674 |
Plan administrator’s name |
UPSTATE HEMATOLOGY ONCOLOGY |
Plan administrator’s
address |
2125 RIVER ROAD, SUITE 100, SCHENECTADY, NY, 12309 |
Administrator’s telephone number |
5188363030 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2009
|
364604674
|
2011-01-31
|
UPSTATE HEMATOLOGY ONCOLOGY
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5182434114
|
Plan sponsor’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425
|
Plan administrator’s name and address
Administrator’s EIN |
364604674 |
Plan administrator’s name |
UPSTATE HEMATOLOGY ONCOLOGY |
Plan administrator’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425 |
Administrator’s telephone number |
5182434114 |
Signature of
Role |
Plan administrator |
Date |
2011-01-31 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2011-01-31 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2009
|
364604674
|
2011-07-12
|
UPSTATE HEMATOLOGY ONCOLOGY
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5182434114
|
Plan sponsor’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425
|
Plan administrator’s name and address
Administrator’s EIN |
364604674 |
Plan administrator’s name |
UPSTATE HEMATOLOGY ONCOLOGY |
Plan administrator’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425 |
Administrator’s telephone number |
5182434114 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
JOSEPH JACOB |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
JOSEPH JACOB |
|
|
UPSTATE HEMATOLOGY ONCOLOGY, PLLC RETIREMENT PLAN
|
2009
|
364604674
|
2010-07-16
|
UPSTATE HEMATOLOGY ONCOLOGY
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5182434114
|
Plan sponsor’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425
|
Plan administrator’s name and address
Administrator’s EIN |
364604674 |
Plan administrator’s name |
UPSTATE HEMATOLOGY ONCOLOGY |
Plan administrator’s
address |
1101 NOTT ST, SCHENECTADY, NY, 123082425 |
Administrator’s telephone number |
5182434114 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
RANA JACOB |
|
Role |
Employer/plan sponsor |
Date |
2010-07-16 |
Name of individual signing |
RANA JACOB |
|
|