|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC RETIREMENT PLAN
|
2023
|
270476822
|
2024-10-01
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
8457036106
|
| Plan sponsor’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028
|
Plan administrator’s name and address
| Administrator’s EIN |
270476822 |
| Plan administrator’s name |
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN |
| Plan administrator’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028 |
| Administrator’s telephone number |
8457036106 |
Signature of
| Role |
Plan administrator |
| Date |
2024-10-01 |
| Name of individual signing |
STEPHEN ZENG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC RETIREMENT PLAN
|
2022
|
270476822
|
2023-10-16
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
8457036106
|
| Plan sponsor’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028
|
Plan administrator’s name and address
| Administrator’s EIN |
270476822 |
| Plan administrator’s name |
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN |
| Plan administrator’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028 |
| Administrator’s telephone number |
8457036106 |
Signature of
| Role |
Plan administrator |
| Date |
2023-10-16 |
| Name of individual signing |
STEPHEN ZENG |
|
|
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC RETIREMENT PLAN
|
2021
|
270476822
|
2022-10-12
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
|
87
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
8457036106
|
| Plan sponsor’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028
|
Plan administrator’s name and address
| Administrator’s EIN |
270476822 |
| Plan administrator’s name |
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN |
| Plan administrator’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028 |
| Administrator’s telephone number |
8457036106 |
Signature of
| Role |
Plan administrator |
| Date |
2022-10-07 |
| Name of individual signing |
MARY DEFREITAS |
|
| Role |
Employer/plan sponsor |
| Date |
2022-10-12 |
| Name of individual signing |
HAL TEITELBAUM |
|
|
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC RETIREMENT PLAN
|
2020
|
270476822
|
2021-10-14
|
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
|
94
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621493
|
| Sponsor’s telephone number |
8457036106
|
| Plan sponsor’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028
|
Plan administrator’s name and address
| Administrator’s EIN |
270476822 |
| Plan administrator’s name |
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN |
| Plan administrator’s
address |
155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 109414028 |
| Administrator’s telephone number |
8457036106 |
Signature of
| Role |
Plan administrator |
| Date |
2021-09-28 |
| Name of individual signing |
MARY DEFREITAS |
|
| Role |
Employer/plan sponsor |
| Date |
2021-10-14 |
| Name of individual signing |
HAL TEITELBAUM |
|
|
