ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC LIFE/ADD PLAN
|
2020
|
208928235
|
2021-07-27
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
320
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC LONG TERM DISABILITY PLAN
|
2020
|
208928235
|
2021-07-27
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC DENTAL PLAN
|
2020
|
208928235
|
2021-07-27
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
195
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC HEALTH PLAN
|
2020
|
208928235
|
2021-07-27
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
214
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR, LIVERPOOL, NY, 130885841
|
Number of participants as of the end of the plan year
Active participants |
206 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-27 |
Name of individual signing |
KAREN CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2019
|
208928235
|
2020-10-31
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
194
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2019
|
208928235
|
2020-10-31
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
24
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2019
|
208928235
|
2020-10-31
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
311
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-06-15 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2018
|
208928235
|
2019-05-14
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
187
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-04-25 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2018
|
208928235
|
2019-05-14
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
276
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-04-25 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
2018
|
208928235
|
2019-05-14
|
ASSOCIATED MEDICAL PROFESSIONALS OF NY, PLLC
|
26
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3155586608
|
Plan sponsor’s mailing address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Plan sponsor’s
address |
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY, 130885842
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-04-25 |
Name of individual signing |
CHRISTOPHER WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|