SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2023
|
112572969
|
2024-10-09
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
ALAN GOLDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-09 |
Name of individual signing |
ALAN GOLDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2022
|
112572969
|
2023-10-16
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2021
|
112572969
|
2022-10-12
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
ALANPGOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
ALAN PETER GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2020
|
112572969
|
2021-10-14
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
ALAN P. GOLDMAN, MD |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2019
|
112572969
|
2020-10-09
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2020-10-09 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2020-10-09 |
Name of individual signing |
ALAN PETER GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2018
|
112572969
|
2019-10-11
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
ALAN GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2017
|
112572969
|
2018-10-11
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
ALAN GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2016
|
112572969
|
2017-10-15
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2017-10-15 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2017-10-15 |
Name of individual signing |
ALAN GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2015
|
112572969
|
2016-09-26
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2016-09-26 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2016-09-26 |
Name of individual signing |
ALAN GOLDMAN |
|
|
SHAPIRO, GOLDMAN, & TAWIL, M.D., P.C. RETIREMENT TRUST
|
2014
|
112572969
|
2015-10-12
|
SHAPIRO, GOLDMAN & TAWIL, M.D., P.C
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189467557
|
Plan sponsor’s
address |
130 BRIGHTON BEACH AVENUE, BROOKLYN, NY, 11235
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
ALAN GOLDMAN |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
ALAN GOLDMAN |
|
|