HARLEM RHEUMATOLOGY LLC
|
2015
|
204896906
|
2017-11-03
|
HARLEM RHEUMATOLOGY LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST NICHOLAS AVE, NEW YORK, NY, 100263467
|
Signature of
Role |
Plan administrator |
Date |
2017-11-03 |
Name of individual signing |
MICHAEL NAARENDORP |
|
Role |
Employer/plan sponsor |
Date |
2017-11-03 |
Name of individual signing |
MICHAEL NAARENDORP |
|
|
HARLEM RHEUMATOLOGY, LLC CASH BALANCE PENSION PLAN & TRST
|
2014
|
204896906
|
2015-10-13
|
HARLEM RHEUMATOLOGY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
|
HARLEM RHEUMATOLOGY, LLC 401(K) PLAN
|
2014
|
204896906
|
2015-10-13
|
HARLEM RHEUMATOLOGY, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
|
HARLEM RHEUMATOLOGY, LLC 401(K) PLAN
|
2013
|
204896906
|
2014-10-10
|
HARLEM RHEUMATOLOGY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
|
HARLEM RHEUMATOLOGY, LLC CASH BALANCE PENSION PLAN & TRST
|
2013
|
204896906
|
2014-10-10
|
HARLEM RHEUMATOLOGY, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
|
HARLEM RHEUMATOLOGY, LLC CASH BALANCE PENSION PLAN & TRST
|
2012
|
204896906
|
2013-10-07
|
HARLEM RHEUMATOLOGY, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
MICHAEL NAARENDORF, MD |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
MICHAEL NAARENDORF, MD |
|
|
HARLEM RHEUMATOLOGY, LLC 401(K) PLAN
|
2012
|
204896906
|
2013-10-07
|
HARLEM RHEUMATOLOGY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
MICHAEL NAARENDORP MD |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
MICHAEL NAARENDORP MD |
|
|
HARLEM RHEUMATOLOGY, LLC 401(K) PLAN
|
2011
|
204896906
|
2012-10-06
|
HARLEM RHEUMATOLOGY, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
Plan administrator’s name and address
Administrator’s EIN |
204896906 |
Plan administrator’s name |
HARLEM RHEUMATOLOGY, LLC |
Plan administrator’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026 |
Administrator’s telephone number |
2123605752 |
Signature of
Role |
Plan administrator |
Date |
2012-10-06 |
Name of individual signing |
MICHAEL NAARENDORP MD |
|
Role |
Employer/plan sponsor |
Date |
2012-10-06 |
Name of individual signing |
MICHAEL NAARENDORP MD |
|
|
HARLEM RHEUMATOLOGY, LLC CASH BALANCE PENSION PLAN & TRST
|
2011
|
204896906
|
2012-10-06
|
HARLEM RHEUMATOLOGY, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2123605752
|
Plan sponsor’s
address |
51 ST. NICHOLAS AVENUE, NEW YORK, NY, 10026
|
Plan administrator’s name and address
Administrator’s EIN |
204896906 |
Plan administrator’s name |
HARLEM RHEUMATOLOGY, LLC |
Plan administrator’s
address |
51 ST. NICHOLAS AVE., NEW YORK, NY, 10026 |
Administrator’s telephone number |
2123605752 |
Signature of
Role |
Plan administrator |
Date |
2012-10-06 |
Name of individual signing |
MICHAEL NAARENDORF, MD |
|
Role |
Employer/plan sponsor |
Date |
2012-10-06 |
Name of individual signing |
HARLEM RHEUMATOLOGY, LLC |
|
|