P.A.G. PENSION PLAN
|
2015
|
133662815
|
2017-01-09
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Signature of
Role |
Plan administrator |
Date |
2017-01-09 |
Name of individual signing |
MICHAEL L KLEIN |
|
Role |
Employer/plan sponsor |
Date |
2017-01-09 |
Name of individual signing |
MICHAEL L KLEIN |
|
|
P.A.G. PENSION PLAN
|
2014
|
133662815
|
2016-08-04
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Signature of
Role |
Plan administrator |
Date |
2016-08-04 |
Name of individual signing |
MICHAEL KLEIN |
|
Role |
Employer/plan sponsor |
Date |
2016-08-04 |
Name of individual signing |
MICHAEL KLEIN |
|
|
P.A.G. PENSION PLAN
|
2013
|
133662815
|
2015-02-19
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Signature of
Role |
Plan administrator |
Date |
2015-02-19 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
Role |
Employer/plan sponsor |
Date |
2015-02-19 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
|
P.A.G. PENSION PLAN
|
2012
|
133662815
|
2013-12-11
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Signature of
Role |
Plan administrator |
Date |
2013-12-11 |
Name of individual signing |
MICHAEL KLEIN |
|
Role |
Employer/plan sponsor |
Date |
2013-12-11 |
Name of individual signing |
MICHAEL KLEIN |
|
|
P.A.G. PENSION PLAN
|
2011
|
133662815
|
2013-01-09
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
133662815 |
Plan administrator’s name |
PARK AVENUE GASTROENTEROLOGY, P.C. |
Plan administrator’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126893500 |
Signature of
Role |
Plan administrator |
Date |
2013-01-09 |
Name of individual signing |
MICHAEL KLEIN |
|
Role |
Employer/plan sponsor |
Date |
2013-01-09 |
Name of individual signing |
MICHAEL KLEIN |
|
|
P.A.G. PENSION PLAN
|
2011
|
133662815
|
2013-01-09
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
133662815 |
Plan administrator’s name |
PARK AVENUE GASTROENTEROLOGY, P.C. |
Plan administrator’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126893500 |
Signature of
Role |
Plan administrator |
Date |
2013-01-09 |
Name of individual signing |
MICHAEL KLEIN |
|
Role |
Employer/plan sponsor |
Date |
2013-01-09 |
Name of individual signing |
MICHAEL KLEIN |
|
|
P.A.G. PENSION PLAN
|
2010
|
133662815
|
2012-01-05
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
133662815 |
Plan administrator’s name |
PARK AVENUE GASTROENTEROLOGY, P.C. |
Plan administrator’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126893500 |
Signature of
Role |
Plan administrator |
Date |
2012-01-05 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
Role |
Employer/plan sponsor |
Date |
2012-01-05 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
|
P.A.G. PENSION PLAN
|
2009
|
133662815
|
2011-02-15
|
PARK AVENUE GASTROENTEROLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-11-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126893500
|
Plan sponsor’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016
|
Plan administrator’s name and address
Administrator’s EIN |
133662815 |
Plan administrator’s name |
PARK AVENUE GASTROENTEROLOGY, P.C. |
Plan administrator’s
address |
35 EAST 35TH STREET, SUITE # 200, NEW YORK, NY, 10016 |
Administrator’s telephone number |
2126893500 |
Signature of
Role |
Plan administrator |
Date |
2011-02-15 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
Role |
Employer/plan sponsor |
Date |
2011-02-15 |
Name of individual signing |
MICHAEL L KLEIN, MD |
|
|