BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN
|
2017
|
111810744
|
2018-03-15
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
013
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
|
Signature of
Role |
Plan administrator |
Date |
2018-03-15 |
Name of individual signing |
DR. SATYAN TANGUTURI |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN
|
2017
|
111810744
|
2019-04-12
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
014
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
285 SILLS ROAD, BLDG. 15, SUITE F, EAST PATCHOGUE, NY, 11772
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN
|
2016
|
111810744
|
2017-10-10
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
014
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
285 SILLS ROAD, BLDG. 15, SUITE F, EAST PATCHOGUE, NY, 11772
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN
|
2016
|
111810744
|
2017-03-08
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
013
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
|
Signature of
Role |
Plan administrator |
Date |
2017-03-08 |
Name of individual signing |
DR. SATYAN TANGUTURI |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN
|
2015
|
111810744
|
2016-10-17
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
014
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN
|
2015
|
111810744
|
2016-07-18
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
013
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
DR. SATYAN TANGUTURI |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN
|
2014
|
111810744
|
2015-07-31
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
014
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
WILLIAM KRUGER, M.D. |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN
|
2014
|
111810744
|
2015-07-21
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
013
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
|
Plan administrator’s name and address
Administrator’s EIN |
111810744 |
Plan administrator’s name |
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP |
Plan administrator’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870 |
Administrator’s telephone number |
6314757680 |
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
DR. SATYAN TANGUTURI |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP 401(K) PROFIT SHARING PLAN
|
2013
|
111810744
|
2014-07-17
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
013
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870
|
Plan administrator’s name and address
Administrator’s EIN |
111810744 |
Plan administrator’s name |
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP |
Plan administrator’s
address |
101 HOSPITAL ROAD, EAST PATCHOGUE, NY, 117724870 |
Administrator’s telephone number |
6314757680 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
DR. SATYAN TANGUTURI |
|
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP CASH BALANCE PLAN
|
2013
|
111810744
|
2014-10-15
|
BROOKHAVEN ANESTHESIA ASSOCIATES, LLP
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
014
|
Effective date of plan |
2009-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6314757680
|
Plan sponsor’s
address |
250 PATCHOGUE YAPHANK RD, UNIT 3, EAST PATCHOGUE, NY, 117724870
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
WILLIAM KRUGER, M.D. |
|
|