JEFFREY H. STERN, M.D., PHD., PLLC PROFIT SHARING PLAN & TRUST
|
2012
|
261078622
|
2013-03-01
|
CAPITAL REGION RETINA , PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184371111
|
Plan sponsor’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098
|
Signature of
Role |
Plan administrator |
Date |
2013-03-01 |
Name of individual signing |
DAVID WHEELER |
|
|
JEFFREY H. STERN, M.D., PHD., PLLC PROFIT SHARING PLAN & TRUST
|
2012
|
261078622
|
2013-05-22
|
CAPITAL REGION RETINA , PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184371111
|
Plan sponsor’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098
|
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
DAVID WHEELER |
|
|
JEFFREY H. STERN, M.D., PHD., PLLC PROFIT SHARING PLAN & TRUST
|
2011
|
261078622
|
2012-10-15
|
CAPITAL REGION RETINA , PLLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184371111
|
Plan sponsor’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098
|
Plan administrator’s name and address
Administrator’s EIN |
261078622 |
Plan administrator’s name |
CAPITAL REGION RETINA , PLLC |
Plan administrator’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098 |
Administrator’s telephone number |
5184371111 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DAVID WHEELER |
|
|
JEFFREY H. STERN, M.D., PHD., PLLC PROFIT SHARING PLAN & TRUST
|
2010
|
261078622
|
2011-10-14
|
CAPITAL REGION RETINA , PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184371111
|
Plan sponsor’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098
|
Plan administrator’s name and address
Administrator’s EIN |
261078622 |
Plan administrator’s name |
CAPITAL REGION RETINA , PLLC |
Plan administrator’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098 |
Administrator’s telephone number |
5184371111 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JEFFREY STERN |
|
|
JEFFREY H. STERN, M.D., PHD., PLLC PROFIT SHARING PLAN & TRUST
|
2009
|
261078622
|
2010-09-17
|
CAPITAL REGION RETINA , PLLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184371111
|
Plan sponsor’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098
|
Plan administrator’s name and address
Administrator’s EIN |
261078622 |
Plan administrator’s name |
CAPITAL REGION RETINA , PLLC |
Plan administrator’s
address |
1365 WASHINGTON AVE STE 101, ALBANY, NY, 122061098 |
Administrator’s telephone number |
5184371111 |
Signature of
Role |
Plan administrator |
Date |
2010-09-17 |
Name of individual signing |
JEFFREY STERN |
|
|