NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2015
|
141761491
|
2016-01-28
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Signature of
Role |
Plan administrator |
Date |
2016-01-28 |
Name of individual signing |
ZACHARY H. PASSARETTI, M.D. |
|
Role |
Employer/plan sponsor |
Date |
2016-01-28 |
Name of individual signing |
ZACHARY H. PASSARETTI, M.D. |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2014
|
141761491
|
2016-01-27
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Signature of
Role |
Plan administrator |
Date |
2016-01-27 |
Name of individual signing |
ZACHARY H. PASSARETTI, MD |
|
Role |
Employer/plan sponsor |
Date |
2016-01-27 |
Name of individual signing |
ZACHARY H. PASSARETTI, MD |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2014
|
141761491
|
2015-05-13
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Signature of
Role |
Plan administrator |
Date |
2015-05-13 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2015-05-13 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2013
|
141761491
|
2014-05-20
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2014-05-20 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2012
|
141761491
|
2013-03-05
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Signature of
Role |
Plan administrator |
Date |
2013-03-05 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2013-03-05 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2011
|
141761491
|
2012-02-21
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Plan administrator’s name and address
Administrator’s EIN |
141761491 |
Plan administrator’s name |
NORTHEAST UROLOGICAL SPECIALISTS, P.C. |
Plan administrator’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204 |
Administrator’s telephone number |
5184341283 |
Signature of
Role |
Plan administrator |
Date |
2012-02-21 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2012-02-21 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2010
|
141761491
|
2011-04-21
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Plan administrator’s name and address
Administrator’s EIN |
141761491 |
Plan administrator’s name |
NORTHEAST UROLOGICAL SPECIALISTS, P.C. |
Plan administrator’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204 |
Administrator’s telephone number |
5184341283 |
Signature of
Role |
Plan administrator |
Date |
2011-04-20 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2011-04-20 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C. PROFIT SHARING/401(K) PLAN
|
2009
|
141761491
|
2010-07-07
|
NORTHEAST UROLOGICAL SPECIALISTS, P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
5184341283
|
Plan sponsor’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204
|
Plan administrator’s name and address
Administrator’s EIN |
141761491 |
Plan administrator’s name |
NORTHEAST UROLOGICAL SPECIALISTS, P.C. |
Plan administrator’s
address |
63 SHAKER ROAD, SUITE 202, ALBANY, NY, 12204 |
Administrator’s telephone number |
5184341283 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
ZACHARY PASSARETTI |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
ZACHARY PASSARETTI |
|
|