BROKHIN MEDICAL P. C. 401(K) PLAN
|
2023
|
270518157
|
2024-07-07
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2024-07-07 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2022
|
270518157
|
2023-06-24
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2023-06-24 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2021
|
270518157
|
2022-10-07
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2020
|
270518157
|
2021-07-20
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2021-07-20 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2019
|
270518157
|
2020-07-24
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2018
|
270518157
|
2019-06-27
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2017
|
270518157
|
2018-06-28
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2016
|
270518157
|
2017-07-13
|
BROKHIN MEDICAL P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2017-07-13 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P. C. 401(K) PLAN
|
2015
|
270518157
|
2016-08-29
|
BROKHIN MEDICAL P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2016-08-29 |
Name of individual signing |
CATHERINE SEKANSKY |
|
|
BROKHIN MEDICAL P.C. 401(K) PLAN
|
2014
|
270518157
|
2015-07-10
|
BROKHIN MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
3474629292
|
Plan sponsor’s
address |
170 MAJOR AVE, STATEN ISLAND, NY, 103053735
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
KATE SEKANSKY |
|
Role |
Employer/plan sponsor |
Date |
2015-07-10 |
Name of individual signing |
KATE SEKANSKY |
|
|