WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2020
|
464998493
|
2021-07-21
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2021-07-21 |
Name of individual signing |
MICHAEL NAZARETH |
|
|
WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2019
|
464998493
|
2020-06-23
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
MICHAEL NAZARETH |
|
Role |
Employer/plan sponsor |
Date |
2020-06-23 |
Name of individual signing |
MICHAEL NAZARETH |
|
|
WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2018
|
464998493
|
2019-07-26
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
MICHAEL NAZARETH |
|
|
WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2017
|
464998493
|
2018-07-17
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
MICHAEL NAZARETH |
|
|
WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2016
|
464998493
|
2017-03-15
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2017-03-15 |
Name of individual signing |
MICHAEL NAZARETH |
|
Role |
Employer/plan sponsor |
Date |
2017-03-15 |
Name of individual signing |
MICHAEL NAZARETH |
|
|
WESTERN NEW YORK DERMATOLOGY 401(K) PLAN
|
2015
|
464998493
|
2016-05-27
|
WESTERN NEW YORK DERMATOLOGY, PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168312600
|
Plan sponsor’s
address |
297 SPINDRIFT DRIVE, SUITE 100, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2016-05-27 |
Name of individual signing |
MICHAEL NAZARETH |
|
Role |
Employer/plan sponsor |
Date |
2016-05-27 |
Name of individual signing |
MICHAEL NAZARETH |
|
|