|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES 401(K) PLAN
|
2023
|
850790118
|
2024-10-02
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
6468079058
|
| Plan sponsor’s
address |
117 DOBBIN STREET, SUITE 210, BROOKLYN, NY, 11222
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-02 |
| Name of individual signing |
ALLISON BRECHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES 401(K) PLAN
|
2022
|
850790118
|
2023-09-28
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
6468079058
|
| Plan sponsor’s
address |
117 DOBBIN STREET, SUITE 210, BROOKLYN, NY, 11222
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-28 |
| Name of individual signing |
ALLISON BRECHER |
|
|
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES 401(K) PLAN
|
2021
|
850790118
|
2022-05-06
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
6468079058
|
| Plan sponsor’s
address |
117 DOBBIN ST STE 210, BROOKLYN, NY, 11222
|
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 |
2022-05-06 |
| Name of individual signing |
CHRISTINE RIMER |
|
|
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES 401(K) PLAN
|
2020
|
850790118
|
2021-06-08
|
BROOKLYN INTEGRATIVE PSYCHOLOGICAL SERVICES, PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
6468079058
|
| Plan sponsor’s
address |
117 DOBBIN ST STE 210, BROOKLYN, NY, 11222
|
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 |
2021-06-08 |
| Name of individual signing |
CAROL HO |
|
|
