EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2017
|
112439941
|
2018-06-07
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314221110
|
Plan sponsor’s
address |
360 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795
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|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2017
|
112439941
|
2018-02-27
|
EDWARD J. MOHR, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2016
|
112439941
|
2017-06-02
|
EDWARD J. MOHR, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2015
|
112439941
|
2016-02-09
|
EDWARD J. MOHR, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2014
|
112439941
|
2015-03-11
|
EDWARD J. MOHR, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Signature of
Role |
Plan administrator |
Date |
2015-03-11 |
Name of individual signing |
EDWARD J. MOHR |
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2013
|
112439941
|
2014-10-14
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
EDWARD J. MOHR |
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2012
|
112439941
|
2013-07-15
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
EDWARD J. MOHR |
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2011
|
112439941
|
2012-08-30
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Plan administrator’s name and address
Administrator’s EIN |
112439941 |
Plan administrator’s name |
EDWARD J. MOHR, M.D., P.C. |
Plan administrator’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716 |
Administrator’s telephone number |
6317892214 |
Signature of
Role |
Plan administrator |
Date |
2012-08-30 |
Name of individual signing |
EDWARD J. MOHR |
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2010
|
112439941
|
2011-06-10
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Plan administrator’s name and address
Administrator’s EIN |
112439941 |
Plan administrator’s name |
EDWARD J. MOHR, M.D., P.C. |
Plan administrator’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716 |
Administrator’s telephone number |
6317892214 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
EDWARD J. MOHR |
|
|
EDWARD J. MOHR, M.D., P.C. RETIREMENT TRUST
|
2009
|
112439941
|
2010-10-07
|
EDWARD J. MOHR, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317892214
|
Plan sponsor’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716
|
Plan administrator’s name and address
Administrator’s EIN |
112439941 |
Plan administrator’s name |
EDWARD J. MOHR, M.D., P.C. |
Plan administrator’s
address |
365 BROADWAY, AMITYVILLE, NY, 117012716 |
Administrator’s telephone number |
6317892214 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
TERRY RIFENBURGH |
|
|