KEVIN B. KULICK, M.D., P.C. MONEY PURCHASE PENSION PLAN
|
2010
|
161378623
|
2010-12-01
|
KEVIN B. KULICK, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168742134
|
Plan sponsor’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217
|
Plan administrator’s name and address
Administrator’s EIN |
161378623 |
Plan administrator’s name |
KEVIN B. KULICK, M.D., P.C. |
Plan administrator’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217 |
Administrator’s telephone number |
7168742134 |
Signature of
Role |
Plan administrator |
Date |
2010-11-30 |
Name of individual signing |
KEVIN KULICK |
|
Role |
Employer/plan sponsor |
Date |
2010-11-30 |
Name of individual signing |
KEVIN KULICK |
|
|
KEVIN B. KULICK, M.D., P.C. RETIREMENT PLAN
|
2010
|
161378623
|
2010-12-01
|
KEVIN B. KULICK, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168742134
|
Plan sponsor’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217
|
Plan administrator’s name and address
Administrator’s EIN |
161378623 |
Plan administrator’s name |
KEVIN B. KULICK, M.D., P.C. |
Plan administrator’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217 |
Administrator’s telephone number |
7168742134 |
Signature of
Role |
Plan administrator |
Date |
2010-11-30 |
Name of individual signing |
KEVIN KULICK |
|
Role |
Employer/plan sponsor |
Date |
2010-11-30 |
Name of individual signing |
KEVIN KULICK |
|
|
KEVIN B. KULICK, M.D., P.C. MONEY PURCHASE PENSION PLAN
|
2009
|
161378623
|
2010-07-19
|
KEVIN B. KULICK, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168742134
|
Plan sponsor’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217
|
Plan administrator’s name and address
Administrator’s EIN |
161378623 |
Plan administrator’s name |
KEVIN B. KULICK, M.D., P.C. |
Plan administrator’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217 |
Administrator’s telephone number |
7168742134 |
Signature of
Role |
Plan administrator |
Date |
2010-07-17 |
Name of individual signing |
KEVIN B. KULICK |
|
Role |
Employer/plan sponsor |
Date |
2010-07-17 |
Name of individual signing |
KEVIN B. KULICK |
|
|
KEVIN B. KULICK, M.D., P.C. RETIREMENT PLAN
|
2009
|
161378623
|
2010-07-19
|
KEVIN B. KULICK, M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7168742134
|
Plan sponsor’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217
|
Plan administrator’s name and address
Administrator’s EIN |
161378623 |
Plan administrator’s name |
KEVIN B. KULICK, M.D., P.C. |
Plan administrator’s
address |
3839 DELAWARE AVENUE, BUFFALO, NY, 14217 |
Administrator’s telephone number |
7168742134 |
Signature of
Role |
Plan administrator |
Date |
2010-07-17 |
Name of individual signing |
KEVIN B. KULICK |
|
Role |
Employer/plan sponsor |
Date |
2010-07-17 |
Name of individual signing |
KEVIN B. KULICK |
|
|