THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2023
|
352307970
|
2024-09-21
|
THE LIGHT MEDICAL P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2024-09-22 |
Name of individual signing |
ASHRAF SAMAAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2022
|
352307970
|
2023-09-28
|
THE LIGHT MEDICAL P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
ASHRAF SAMAAN |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2021
|
352307970
|
2022-10-06
|
THE LIGHT MEDICAL P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
ASHRAF SAMAAN |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2020
|
352307970
|
2021-10-08
|
THE LIGHT MEDICAL P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
ASHRAF SAMAAN |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2019
|
352307970
|
2020-10-14
|
THE LIGHT MEDICAL P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
ASHRAF SAMAAN |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2018
|
352307970
|
2019-10-14
|
THE LIGHT MEDICAL P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
ASHRAF SAMAAN |
|
|
THE LIGHT MEDICAL P.C. 401(K) PLAN
|
2017
|
352307970
|
2018-10-10
|
THE LIGHT MEDICAL P.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2017-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9176562872
|
Plan sponsor’s
address |
15 LEONELLO LANE, STATEN ISLAND, NY, 10307
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
ASHRAF SAMAAN |
|
|