CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2023
|
208939043
|
2024-10-16
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2024-10-16 |
Name of individual signing |
JEAN-ROBERT MACENAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-16 |
Name of individual signing |
JEAN-ROBERT MACENAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2022
|
208939043
|
2023-10-15
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2023-10-15 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2023-10-15 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2021
|
208939043
|
2022-09-02
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2022-09-01 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2022-09-01 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2020
|
208939043
|
2021-11-23
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2021-11-23 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2021-11-23 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2020
|
208939043
|
2021-10-05
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2021-10-05 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2021-10-05 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2019
|
208939043
|
2021-11-17
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2021-11-16 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2021-11-16 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2019
|
208939043
|
2020-09-21
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
860 GRAND CONCOURSE APT 1L, BRONX, NY, 104512815
|
Signature of
Role |
Plan administrator |
Date |
2020-09-21 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2020-09-21 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2018
|
208939043
|
2019-10-01
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
769 CONCOURSE VLG W, BRONX, NY, 104513801
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2017
|
208939043
|
2018-09-10
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
769 CONCOURSE VLG W, BRONX, NY, 104513801
|
Signature of
Role |
Plan administrator |
Date |
2018-09-10 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
Role |
Employer/plan sponsor |
Date |
2018-09-10 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC 401(K) PLAN
|
2016
|
208939043
|
2017-10-10
|
CONCOURSE VILLAGE PRIMARY CARE, PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7184024021
|
Plan sponsor’s
address |
769 CONCOURSE VLG W, BRONX, NY, 104513801
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
JEAN-ROBERT MACENAT |
|
|