HAMPTON EYE PHYSICIANS & SURGEONS, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
112372821
|
2016-07-21
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315833533
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
PAUL A. CHOINSKI |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
PAUL A. CHOINSKI |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
112372821
|
2015-06-09
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6315833533
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2015-06-09 |
Name of individual signing |
PAUL CHOINSKI |
|
Role |
Employer/plan sponsor |
Date |
2015-06-09 |
Name of individual signing |
PAUL CHOINSKI |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C 401(K) PROFIT SHARING PLAN
|
2013
|
112372821
|
2014-09-11
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312833533
|
Plan sponsor’s mailing address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Number of participants as of the end of the plan year
Active participants |
16 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
16 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-04-08 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-08 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
112372821
|
2013-09-24
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312833533
|
Plan sponsor’s mailing address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
11 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-09-17 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
112372821
|
2012-04-25
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312833533
|
Plan sponsor’s mailing address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
112372821 |
Plan administrator’s name |
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. |
Plan administrator’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6312833533 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
11 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-03-22 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C 401(K) PROFIT SHARING PLAN
|
2010
|
112372821
|
2011-03-16
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312833533
|
Plan sponsor’s mailing address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
112372821 |
Plan administrator’s name |
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. |
Plan administrator’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6312833533 |
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-02-17 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
112372821
|
2010-06-21
|
HAMPTON EYE PHYSICIANS & SURGEONS, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1987-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
6312833533
|
Plan sponsor’s mailing address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan sponsor’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
112372821 |
Plan administrator’s name |
HAMPTON EYE PHYSICIANS & SURGEONS, P.C. |
Plan administrator’s
address |
186 OLD TOWN ROAD, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6312833533 |
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
10 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-21 |
Name of individual signing |
PAUL CHOINSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|