GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLAN
|
2018
|
113070853
|
2019-07-26
|
GARY S. HIRSHFIELD, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
GARY HIRSHFIELD, MD TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2019-07-26 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLAN
|
2017
|
113070853
|
2018-07-30
|
GARY S. HIRSHFIELD, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
GARY HIRSHFIELD, MD TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLAN
|
2016
|
113070853
|
2017-03-23
|
GARY S. HIRSHFIELD, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2017-03-23 |
Name of individual signing |
GARY HIRSHFIELD, MD TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2017-03-23 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLAN
|
2015
|
113070853
|
2016-04-04
|
GARY S. HIRSHFIELD, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2016-04-04 |
Name of individual signing |
GARY HIRSHFIELD, MD TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2016-04-04 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2014
|
113070853
|
2015-03-03
|
GARY S. HIRSHFIELD, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2015-03-03 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2015-03-03 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2013
|
113070853
|
2014-05-12
|
GARY S. HIRSHFIELD, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2014-05-12 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2014-05-12 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2012
|
113070853
|
2013-06-20
|
GARY S. HIRSHFIELD, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Signature of
Role |
Plan administrator |
Date |
2013-06-20 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2013-06-20 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2011
|
113070853
|
2012-02-27
|
GARY S. HIRSHFIELD, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
113070853 |
Plan administrator’s name |
GARY S. HIRSHFIELD, M.D., P.C. |
Plan administrator’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5169447864 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2012-02-27 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2010
|
113070853
|
2011-05-09
|
GARY S. HIRSHFIELD, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
113070853 |
Plan administrator’s name |
GARY S. HIRSHFIELD, M.D., P.C. |
Plan administrator’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5169447864 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2011-05-09 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|
GARY S. HIRSHFIELD, M.D., P.C. PROFIT SHARING PLA
|
2009
|
113070853
|
2010-07-16
|
GARY S. HIRSHFIELD, M.D., P.C.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169447864
|
Plan sponsor’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050
|
Plan administrator’s name and address
Administrator’s EIN |
113070853 |
Plan administrator’s name |
GARY S. HIRSHFIELD, M.D., P.C. |
Plan administrator’s
address |
11 HILLSIDE AVENUE, PORT WASHINGTON, NY, 11050 |
Administrator’s telephone number |
5169447864 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
GARY HIRSHFIELD, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
GARY HIRSHFIELD, M.D., PRESIDENT |
|
|