SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2019
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132989836
|
2020-11-05
|
SHARIAR SOTUDEH, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2020-11-05 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2018
|
132989836
|
2020-08-13
|
SHARIAR SOTUDEH, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2020-08-13 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2017
|
132989836
|
2019-05-31
|
SHARIAR SOTUDEH, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2019-05-31 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2016
|
132989836
|
2018-08-14
|
SHARIAR SOTUDEH, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2018-08-14 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2015
|
132989836
|
2017-08-10
|
SHARIAR SOTUDEH, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2017-08-10 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2014
|
132989836
|
2016-07-26
|
SHARIAR SOTUDEH, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2013
|
132989836
|
2015-07-28
|
SHARIAR SOTUDEH, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2012
|
132989836
|
2014-07-17
|
SHARIAR SOTUDEH, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2011
|
132989836
|
2013-08-08
|
SHARIAR SOTUDEH, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Plan administrator’s name and address
Administrator’s EIN |
132989836 |
Plan administrator’s name |
SHARIAR SOTUDEH, M.D., P.C. |
Plan administrator’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583 |
Administrator’s telephone number |
9146671620 |
Signature of
Role |
Plan administrator |
Date |
2013-08-08 |
Name of individual signing |
NADEREH SOTUDEH |
|
|
SHARIAR SOTUDEH, M.D., P.C. RETIREMENT TRUST
|
2010
|
132989836
|
2012-08-15
|
SHARIAR SOTUDEH, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
9146671620
|
Plan sponsor’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583
|
Plan administrator’s name and address
Administrator’s EIN |
132989836 |
Plan administrator’s name |
SHARIAR SOTUDEH, M.D., P.C. |
Plan administrator’s
address |
2 OLD LYME ROAD, SCARSDALE, NY, 10583 |
Administrator’s telephone number |
9146671620 |
Signature of
Role |
Plan administrator |
Date |
2012-08-15 |
Name of individual signing |
NADEREH SOTUDEH |
|
|