HEALTH LEVEL ONE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
412263815
|
2024-07-03
|
HEALTH LEVEL ONE INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
541380
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE, HAUPPAUGE, NY, 11788
|
Plan administrator’s name and address
Administrator’s EIN |
471637791 |
Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
Administrator’s telephone number |
6312490500 |
Signature of
Role |
Plan administrator |
Date |
2024-07-03 |
Name of individual signing |
ERISA FIDUCIARY SERVICES, INC |
|
|
HEALTH LEVEL ONE, INC. 401(K) PLAN
|
2022
|
412263815
|
2023-06-12
|
HEALTH LEVEL ONE, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE., HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2023-06-12 |
Name of individual signing |
MONICA BHASIN |
|
Role |
Employer/plan sponsor |
Date |
2023-06-12 |
Name of individual signing |
MONICA BHASIN |
|
|
HEALTH LEVEL ONE, INC. 401(K) PLAN
|
2021
|
412263815
|
2022-06-13
|
HEALTH LEVEL ONE, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE., HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
MONICA BHASIN |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
MONICA BHASIN |
|
|
HEALTH LEVEL ONE, INC. 401(K) PLAN
|
2020
|
412263815
|
2021-06-24
|
HEALTH LEVEL ONE, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE., HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2021-06-23 |
Name of individual signing |
MONICA BHASIN |
|
Role |
Employer/plan sponsor |
Date |
2021-06-23 |
Name of individual signing |
MONICA BHASIN |
|
|
HEALTH LEVEL ONE, INC. 401(K) PLAN
|
2019
|
412263815
|
2020-06-25
|
HEALTH LEVEL ONE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE., HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
MONICA BHASIN |
|
Role |
Employer/plan sponsor |
Date |
2020-06-24 |
Name of individual signing |
MONICA BHASIN |
|
|
HEALTH LEVEL ONE, INC. 401(K) PLAN
|
2018
|
412263815
|
2019-09-11
|
HEALTH LEVEL ONE, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6313456300
|
Plan sponsor’s
address |
180 ADAMS AVE., HAUPPAUGE, NY, 11788
|
Signature of
Role |
Plan administrator |
Date |
2019-09-11 |
Name of individual signing |
MONICA BHASIN |
|
Role |
Employer/plan sponsor |
Date |
2019-09-11 |
Name of individual signing |
MONICA BHASIN |
|
|