ARBAJ 401(K) PROFIT SHARING PLAN
|
2016
|
271875885
|
2017-11-28
|
ALLEGHENY REGIONAL BONE JOINT SURGERY, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163739933
|
Plan sponsor’s
address |
2676 W. STATE ST., SUITE 700, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
JENNIFER J TERHAAR |
|
Role |
Employer/plan sponsor |
Date |
2017-11-28 |
Name of individual signing |
JENNIFER J TERHAAR |
|
|
ARBAJ 401(K) PROFIT SHARING PLAN
|
2016
|
271875885
|
2017-10-09
|
ALLEGHENY REGIONAL BONE JOINT SURGERY, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163739933
|
Plan sponsor’s
address |
2676 W. STATE ST., SUITE 700, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
JENNIFER TERHAAAR |
|
|
ARBAJ 401(K) PROFIT SHARING PLAN
|
2015
|
271875885
|
2016-10-14
|
ALLEGHENY REGIONAL BONE AND JOINT SURGERY, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163798954
|
Plan sponsor’s
address |
2676 W. STATE ST., SUITE 700, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
JENNIFER TERHAAR |
|
Role |
Employer/plan sponsor |
Date |
2016-10-14 |
Name of individual signing |
JENNIFER TERHAAR |
|
|
ARBAJ 401(K) PROFIT SHARING PLAN
|
2014
|
271875885
|
2015-07-28
|
ALLEGHENY REGIONAL BONE AND JOINT SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163798954
|
Plan sponsor’s
address |
2676 W. STATE ST., SUITE 700, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
JENNIFER TERHAAR |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
JENNIFER TERHAAR |
|
|
ARBAJ 401(K) PROFIT SHARING PLAN
|
2013
|
271875885
|
2014-09-18
|
ALLEGHENY REGIONAL BONE AND JOINT SURGERY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7163798954
|
Plan sponsor’s
address |
2676 W. STATE ST., SUITE 700, OLEAN, NY, 14760
|
Signature of
Role |
Plan administrator |
Date |
2014-09-18 |
Name of individual signing |
JENNIFER TERHAAR |
|
Role |
Employer/plan sponsor |
Date |
2014-09-18 |
Name of individual signing |
JENNIFER TERHAAR |
|
|