MORDCAI BLAU, MD, PC RETIREMENT PLAN
|
2013
|
112583158
|
2014-07-10
|
MORDCAI BLAU, M.D., P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144284700
|
Plan sponsor’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2014-07-10 |
Name of individual signing |
MORDCAI BLAU |
|
Role |
Employer/plan sponsor |
Date |
2014-07-10 |
Name of individual signing |
MORDCAI BLAU |
|
|
MORDCAI BLAU, MD, PC RETIREMENT PLAN
|
2012
|
112583158
|
2013-09-09
|
MORDCAI BLAU, M.D., P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144284700
|
Plan sponsor’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
MORDCAI BLAU |
|
Role |
Employer/plan sponsor |
Date |
2013-09-09 |
Name of individual signing |
MORDCAI BLAU |
|
|
MORDCAI BLAU, MD, PC RETIREMENT PLAN
|
2011
|
112583158
|
2012-05-25
|
MORDCAI BLAU, M.D., P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144284700
|
Plan sponsor’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
Administrator’s EIN |
112583158 |
Plan administrator’s name |
MORDCAI BLAU, M.D., P.C |
Plan administrator’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605 |
Administrator’s telephone number |
9144284700 |
Signature of
Role |
Plan administrator |
Date |
2012-05-25 |
Name of individual signing |
MORDCAI BLAU |
|
Role |
Employer/plan sponsor |
Date |
2012-05-25 |
Name of individual signing |
MORDCAI BLAU |
|
|
MORDCAI BLAU, MD, PC RETIREMENT PLAN
|
2010
|
112583158
|
2011-07-19
|
MORDCAI BLAU, M.D., P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144284700
|
Plan sponsor’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
Administrator’s EIN |
112583158 |
Plan administrator’s name |
MORDCAI BLAU, M.D., P.C |
Plan administrator’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605 |
Administrator’s telephone number |
9144284700 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
MORDCAI BLAU |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
MORDCAI BLAU |
|
|
MORDCAI BLAU, MD, PC RETIREMENT PLAN
|
2009
|
112583158
|
2010-09-29
|
MORDCAI BLAU, M.D., P.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9144284700
|
Plan sponsor’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605
|
Plan administrator’s name and address
Administrator’s EIN |
112583158 |
Plan administrator’s name |
MORDCAI BLAU, M.D., P.C |
Plan administrator’s
address |
12 GREENRIDGE AVENUE, WHITE PLAINS, NY, 10605 |
Administrator’s telephone number |
9144284700 |
Signature of
Role |
Plan administrator |
Date |
2010-09-10 |
Name of individual signing |
MORDCAI BLAU |
|
Role |
Employer/plan sponsor |
Date |
2010-09-10 |
Name of individual signing |
MORDCAI BLAU |
|
|