GOMEZ NEUROLOGY 401(K) PLAN
|
2022
|
473534249
|
2023-12-28
|
GOMEZ NEUROLOGY, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-12-28 |
Name of individual signing |
CHRISTINE RIMER |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2022
|
473534249
|
2023-05-29
|
GOMEZ NEUROLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2023-05-29 |
Name of individual signing |
CHRISTINE RIMER |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2021
|
473534249
|
2022-05-25
|
GOMEZ NEUROLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
CHRISTINE RIMER |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2020
|
473534249
|
2021-06-05
|
GOMEZ NEUROLOGY, PLLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2021-06-05 |
Name of individual signing |
CAROL HO |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2019
|
473534249
|
2020-05-23
|
GOMEZ NEUROLOGY, PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2020-05-23 |
Name of individual signing |
CAROL HO |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2018
|
473534249
|
2019-07-17
|
GOMEZ NEUROLOGY, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
CAROL HO |
|
|
GOMEZ NEUROLOGY 401(K) PLAN
|
2017
|
473534249
|
2018-07-25
|
GOMEZ NEUROLOGY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-26
|
Business code |
621111
|
Sponsor’s telephone number |
5186502090
|
Plan sponsor’s
address |
110 WOLF ROAD, STE 105, ALBANY, NY, 12205
|
Plan administrator’s name and address
Administrator’s EIN |
474474775 |
Plan administrator’s name |
GUIDELINE, INC. |
Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
Administrator’s telephone number |
8882283491 |
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
CAROL HO |
|
|