URI SHABTO M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2011
|
113198425
|
2012-10-01
|
URI SHABTO M.D., P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2012-10-01 |
Name of individual signing |
URI SHABTO |
|
|
URI SHABTO M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
113198425
|
2012-10-01
|
URI SHABTO M.D., P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2012-10-01 |
Name of individual signing |
URI SHABTO |
|
|
URI SHABTO M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
113198425
|
2011-06-13
|
URI SHABTO M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-13 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2011-06-13 |
Name of individual signing |
URI SHABTO |
|
|
URI SHABTO M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2010
|
113198425
|
2011-06-13
|
URI SHABTO M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-13 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2011-06-13 |
Name of individual signing |
URI SHABTO |
|
|
URI SHABTO M.D., P.C. DEFINED BENEFIT PENSION PLAN
|
2009
|
113198425
|
2010-08-06
|
URI SHABTO M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2010-08-06 |
Name of individual signing |
URI SHABTO |
|
|
URI SHABTO M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
113198425
|
2010-08-06
|
URI SHABTO M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126772000
|
Plan sponsor’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003
|
Plan administrator’s name and address
Administrator’s EIN |
113198425 |
Plan administrator’s name |
URI SHABTO M.D., P.C. |
Plan administrator’s
address |
310 EAST 14TH STREET, NEW YORK, NY, 10003 |
Administrator’s telephone number |
2126772000 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
URI SHABTO |
|
Role |
Employer/plan sponsor |
Date |
2010-08-06 |
Name of individual signing |
URI SHABTO |
|
|