LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2013
|
113186717
|
2014-06-30
|
LONG ISLAND PATHOLOGY, P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2014-06-30 |
Name of individual signing |
DR. ALI TAMSEN |
|
Role |
Employer/plan sponsor |
Date |
2014-06-30 |
Name of individual signing |
ALI TAMSEN |
|
|
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2012
|
113186717
|
2013-03-05
|
LONG ISLAND PATHOLOGY, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
|
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
DR. ALI TAMSEN |
|
|
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2011
|
113186717
|
2012-07-05
|
LONG ISLAND PATHOLOGY, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
113186717 |
Plan administrator’s name |
LONG ISLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6317268268 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
DR. ALI TAMSEN |
|
|
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2010
|
113186717
|
2011-06-01
|
LONG ISLAND PATHOLOGY, P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
113186717 |
Plan administrator’s name |
LONG ISLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
240 MEETING HOUSE LANE, SUITE 3, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6317268268 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
DR. ALI TAMSEN |
|
|
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2009
|
113186717
|
2010-07-26
|
LONG ISLAND PATHOLOGY, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
P.O. BOX 2098, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
113186717 |
Plan administrator’s name |
LONG ISLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 2098, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6317268268 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
DR. ALI TAMSEN |
|
|
LONG ISLAND PATHOLOGY 401(K) PROFIT SHARING PLAN
|
2009
|
113186717
|
2010-07-26
|
LONG ISLAND PATHOLOGY, P.C.
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-01-01
|
Business code |
621510
|
Sponsor’s telephone number |
6317268268
|
Plan sponsor’s
address |
P.O. BOX 2098, SOUTHAMPTON, NY, 11968
|
Plan administrator’s name and address
Administrator’s EIN |
113186717 |
Plan administrator’s name |
LONG ISLAND PATHOLOGY, P.C. |
Plan administrator’s
address |
P.O. BOX 2098, SOUTHAMPTON, NY, 11968 |
Administrator’s telephone number |
6317268268 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
DR. ALI TAMSEN |
|
|