PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2014
|
112850144
|
2015-06-24
|
PROMEDICA IMAGING P. C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2015-06-24 |
Name of individual signing |
ROSA PERCEVEJO |
|
|
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2014
|
112850144
|
2015-12-27
|
PROMEDICA IMAGING P. C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2015-12-27 |
Name of individual signing |
GAIL PHILLIPS, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2015-12-27 |
Name of individual signing |
GAIL PHILLLIPS, M.D. |
|
|
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2013
|
112850144
|
2014-05-29
|
PROMEDICA IMAGING P. C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
ROSA PERCEVEJO |
|
|
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2012
|
112850144
|
2013-06-05
|
PROMEDICA IMAGING P. C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
ROSA PERCEVEJO |
|
|
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2011
|
112850144
|
2012-06-07
|
PROMEDICA IMAGING P. C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112850144 |
Plan administrator’s name |
PROMEDICA IMAGING P. C. |
Plan administrator’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042 |
Administrator’s telephone number |
5164371077 |
Signature of
Role |
Plan administrator |
Date |
2012-06-07 |
Name of individual signing |
ROSA PERCEVEJO |
|
|
PROMEDICA IMAGING PC 401K PROFIT SHARING PLAN & TRUST
|
2010
|
112850144
|
2011-06-09
|
PROMEDICA IMAGING P. C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5164371077
|
Plan sponsor’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112850144 |
Plan administrator’s name |
PROMEDICA IMAGING P. C. |
Plan administrator’s
address |
2001 MARCUS AVE, LAKE SUCCESS, NY, 11042 |
Administrator’s telephone number |
5164371077 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROSA PERCEVEJO |
|
|