LOWER EXTREMITY REVIEW 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
264795224
|
2023-08-30
|
LOWER EXTREMITY REVIEW
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
519100
|
Sponsor’s telephone number |
5182214042
|
Plan sponsor’s
address |
197 WILLIAMSBURG CT, ALBANY, NY, 122035503
|
Signature of
Role |
Plan administrator |
Date |
2023-08-30 |
Name of individual signing |
RICHARD DUBIN |
|
|
LOWER EXTREMITY REVIEW 401 K PROFIT SHARING PLAN TRUST
|
2015
|
264795224
|
2016-07-21
|
LOWER EXTREMITY REVIEW
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
519100
|
Sponsor’s telephone number |
5182214042
|
Plan sponsor’s
address |
292 WASHINGTON AVE EXT SUITE 1, ALBANY, NY, 12203
|
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
RICHARD DUBIN |
|
|
LOWER EXTREMITY REVIEW, LLC 401K PLAN
|
2013
|
264795224
|
2014-07-28
|
LOWER EXTREMITY REVIEW
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
812990
|
Sponsor’s telephone number |
5184526898
|
Plan sponsor’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
FRANK HARRISON |
|
|
LOWER EXTREMITY REVIEW, LLC 401K PLAN
|
2013
|
264795224
|
2014-06-30
|
LOWER EXTREMITY REVIEW
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
812990
|
Sponsor’s telephone number |
5184526898
|
Plan sponsor’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
RICHARD DUBIN |
|
|
LOWER EXTREMITY REVIEW, LLC 401K PLAN
|
2012
|
264795224
|
2013-06-21
|
LOWER EXTREMITY REVIEW
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
812990
|
Sponsor’s telephone number |
5184526898
|
Plan sponsor’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203
|
Signature of
Role |
Plan administrator |
Date |
2013-06-21 |
Name of individual signing |
RICHARD DUBIN |
|
|
LOWER EXTREMITY REVIEW, LLC 401K PLAN
|
2011
|
264795224
|
2012-07-23
|
LOWER EXTREMITY REVIEW
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
812990
|
Sponsor’s telephone number |
5184526898
|
Plan sponsor’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203
|
Plan administrator’s name and address
Administrator’s EIN |
264795224 |
Plan administrator’s name |
LOWER EXTREMITY REVIEW |
Plan administrator’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203 |
Administrator’s telephone number |
5184526898 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
RICHARD DUBIN |
|
|
LOWER EXTREMITY REVIEW, LLC 401K PLAN
|
2011
|
264795224
|
2012-06-22
|
LOWER EXTREMITY REVIEW
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-08-01
|
Business code |
812990
|
Sponsor’s telephone number |
5184526898
|
Plan sponsor’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203
|
Plan administrator’s name and address
Administrator’s EIN |
264795224 |
Plan administrator’s name |
LOWER EXTREMITY REVIEW |
Plan administrator’s
address |
292 WASHINGTON AVE., STE. 105, ALBANY, NY, 12203 |
Administrator’s telephone number |
5184526898 |
Signature of
Role |
Plan administrator |
Date |
2012-06-22 |
Name of individual signing |
RICHARD DUBIN |
|
|