MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2015
|
133723620
|
2016-07-18
|
MOEHLEN MEDICAL, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2015
|
133723620
|
2016-07-19
|
MOEHLEN MEDICAL, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2014
|
133723620
|
2015-06-08
|
MOEHLEN MEDICAL, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, 450 SEVENTH AVENUE, SUITE 1500, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
2 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-08 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2013
|
133723620
|
2014-07-16
|
MOEHLEN MEDICAL, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
2 |
Other
retired or separated participants entitled to future benefits |
7 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2012
|
133723620
|
2013-07-11
|
MOEHLEN MEDICAL, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
3 |
Other
retired or separated participants entitled to future benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOEHLEN MEDICAL, P.C. RETIREMENT TRUST (PROFIT SHARING PLAN)
|
2011
|
133723620
|
2012-07-19
|
MOEHLEN MEDICAL, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127376222
|
Plan sponsor’s mailing address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan sponsor’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021
|
Plan administrator’s name and address
Administrator’s EIN |
133723620 |
Plan administrator’s name |
MOEHLEN MEDICAL, P.C. |
Plan administrator’s
address |
128 EAST 75TH STREET, NEW YORK, NY, 10021 |
Administrator’s telephone number |
2127376222 |
Number of participants as of the end of the plan year
Active participants |
3 |
Other
retired or separated participants entitled to future benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
KARL MOEHLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|