MIDDLETOWN MEDICAL P.C. 401(K) PLAN AND TRUST
|
2018
|
061127657
|
2020-10-15
|
MIDDLETOWN MEDICAL P.C.
|
481
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
14 SILVER LAKE SCOTCHTOWN RD, MIDDLETOWN, NY, 109402814
|
Plan sponsor’s
address |
14 SILVER LAKE SCOTCHTOWN RD, MIDDLETOWN, NY, 109402814
|
Number of participants as of the end of the plan year
Active participants |
439 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
62 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
274 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2013
|
061127657
|
2014-10-15
|
MIDDLETOWN MEDICAL, P.C.
|
282
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453425199
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Number of participants as of the end of the plan year
Active participants |
253 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
29 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
100 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2012
|
061127657
|
2013-10-09
|
MIDDLETOWN MEDICAL, P.C.
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Number of participants as of the end of the plan year
Active participants |
235 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
27 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
88 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2011
|
061127657
|
2013-05-01
|
MIDDLETOWN MEDICAL, P.C.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
8453424774 |
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
27 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
88 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-01 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-01 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2011
|
061127657
|
2013-04-04
|
MIDDLETOWN MEDICAL, P.C.
|
200
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
8453424774 |
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
27 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
88 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-04-04 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-04 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2011
|
061127657
|
2013-02-21
|
MIDDLETOWN MEDICAL, P.C.
|
200
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
8453424774 |
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
27 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
88 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-02-21 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-02-21 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2011
|
061127657
|
2012-10-15
|
MIDDLETOWN MEDICAL, P.C.
|
200
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8453424774
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
8453424774 |
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
27 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
88 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2010
|
061127657
|
2011-10-28
|
MIDDLETOWN MEDICAL, P.C.
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9143425199
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
9143425199 |
Number of participants as of the end of the plan year
Active participants |
147 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
26 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
85 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-28 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-28 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2009
|
061127657
|
2011-01-04
|
MIDDLETOWN MEDICAL, P.C.
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9143425199
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
9143425199 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
28 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
84 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-01-04 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-04 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLETOWN MEDICAL, P.C. 401(K) PLAN AND TRUST
|
2009
|
061127657
|
2010-10-14
|
MIDDLETOWN MEDICAL, P.C.
|
175
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9143425199
|
Plan sponsor’s mailing address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000
|
Plan sponsor’s
address |
MIDDLETOWN MEDICAL, PC, 111 MALTESE DRIVE, MIDDLETOWN, NY, 10940
|
Plan administrator’s name and address
Administrator’s EIN |
061127657 |
Plan administrator’s name |
MIDDLETOWN MEDICAL, P.C. |
Plan administrator’s
address |
111 MALTESE DRIVE, MIDDLETOWN, NY, 109400000 |
Administrator’s telephone number |
9143425199 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
28 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
84 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
RAJAN GULATI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|