LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2016
|
134146717
|
2017-11-07
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
222 ROUTE 59, SUITE 204, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2017-11-04 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2017-11-04 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2016
|
134146717
|
2017-07-05
|
LAURIE SOLOMON, M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
222 ROUTE 59, SUITE 204, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2017-06-01 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2017-06-01 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2015
|
134146717
|
2016-09-06
|
LAURIE SOLOMON, M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2016-09-05 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2016-09-05 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2014
|
134146717
|
2015-06-05
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2015-06-02 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2015-06-02 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2013
|
134146717
|
2014-06-09
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2014-06-04 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2012
|
134146717
|
2013-07-03
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Signature of
Role |
Plan administrator |
Date |
2013-06-25 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2013-06-25 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2011
|
134146717
|
2012-05-21
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
134146717 |
Plan administrator’s name |
LAURIE SOLOMON, M.D. |
Plan administrator’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453578884 |
Signature of
Role |
Plan administrator |
Date |
2012-05-20 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2012-05-20 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2010
|
134146717
|
2011-05-31
|
LAURIE SOLOMON, M.D.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
134146717 |
Plan administrator’s name |
LAURIE SOLOMON, M.D. |
Plan administrator’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453578884 |
Signature of
Role |
Plan administrator |
Date |
2011-05-25 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2011-05-25 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2010
|
134146717
|
2012-03-06
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901
|
Plan administrator’s name and address
Administrator’s EIN |
134146717 |
Plan administrator’s name |
LAURIE SOLOMON, M.D. |
Plan administrator’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 10901 |
Administrator’s telephone number |
8453578884 |
Signature of
Role |
Plan administrator |
Date |
2012-02-29 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2012-02-29 |
Name of individual signing |
LAURIE SOLOMON |
|
|
LAURIE SOLOMON, M.D.RETIREMENT PLAN
|
2009
|
134146717
|
2010-08-09
|
LAURIE SOLOMON, M.D.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453578884
|
Plan sponsor’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 109014829
|
Plan administrator’s name and address
Administrator’s EIN |
134146717 |
Plan administrator’s name |
LAURIE SOLOMON, M.D. |
Plan administrator’s
address |
257 LAFAYETTE AVENUE, SUITE 380, SUFFERN, NY, 109014829 |
Administrator’s telephone number |
8453578884 |
Signature of
Role |
Plan administrator |
Date |
2010-08-08 |
Name of individual signing |
LAURIE SOLOMON |
|
Role |
Employer/plan sponsor |
Date |
2010-08-08 |
Name of individual signing |
LAURIE SOLOMON |
|
|