ACAP 401(K) RETIREMENT PLAN
|
2023
|
810703017
|
2024-09-19
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, SUITE A, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2024-09-19 |
Name of individual signing |
JOHN SAMANICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2022
|
810703017
|
2023-09-15
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2023-09-15 |
Name of individual signing |
JOHN SAMANICH |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2021
|
810703017
|
2022-03-14
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2022-03-14 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2022-03-14 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2020
|
810703017
|
2021-02-15
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2021-02-15 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2021-02-15 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2019
|
810703017
|
2020-03-22
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2020-03-22 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2020-03-22 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2018
|
810703017
|
2019-07-06
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2019-07-06 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2019-07-06 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2017
|
810703017
|
2018-02-20
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2018-02-20 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2018-02-20 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|
ACAP 401(K) RETIREMENT PLAN
|
2016
|
810703017
|
2017-06-09
|
ARMONK CHILD AND ADOLESCENT PSYCHIATRY, PLLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9147306377
|
Plan sponsor’s
address |
1 HUNTER AVENUE, #B, ARMONK, NY, 10504
|
Signature of
Role |
Plan administrator |
Date |
2017-06-09 |
Name of individual signing |
JOHN G. SAMANICH, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2017-06-09 |
Name of individual signing |
JOHN G. SAMANICH, M.D. |
|
|