HIGH PEAKS MEDICINE 401(K) PLAN
|
2023
|
861867069
|
2024-06-12
|
HIGH PEAKS MEDICINE PLLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157650903
|
Plan sponsor’s
address |
20 KELLOGG ROAD, NEW HARTFORD, NY, 13413
|
Signature of
Role |
Plan administrator |
Date |
2024-06-12 |
Name of individual signing |
AUDREY GALIULO |
|
Role |
Employer/plan sponsor |
Date |
2024-06-12 |
Name of individual signing |
AUDREY GALIULO |
|
|
HIGH PEAKS MEDICINE 401(K) PLAN
|
2022
|
861867069
|
2023-04-04
|
HIGH PEAKS MEDICINE PLLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157650903
|
Plan sponsor’s
address |
20 KELLOGG ROAD, NEW HARTFORD, NY, 13413
|
Signature of
Role |
Plan administrator |
Date |
2023-04-04 |
Name of individual signing |
AUDREY GALIULO |
|
Role |
Employer/plan sponsor |
Date |
2023-04-04 |
Name of individual signing |
AUDREY GALIULO |
|
|
HIGH PEAKS MEDICINE 401(K) PLAN
|
2021
|
861867069
|
2022-10-12
|
HIGH PEAKS MEDICINE PLLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2021-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3157650903
|
Plan sponsor’s
address |
20 KELLOGG ROAD, NEW HARTFORD, NY, 13413
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
AUDREY GALIULO |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
AUDREY GALIULO |
|
|