SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2013
|
111946070
|
2014-10-26
|
SOUTH NASSAU PEDIATRICS, LLP
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5168687009
|
Plan sponsor’s
address |
12 FLORENCE AVENUE, APT. 29B, FREEPORT, NY, 115205845
|
Signature of
Role |
Plan administrator |
Date |
2014-10-26 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
|
SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2013
|
111946070
|
2014-02-13
|
SOUTH NASSAU PEDIATRICS, LLP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5168687009
|
Plan sponsor’s
address |
12 FLORENCE AVENUE, APT. 29B, FREEPORT, NY, 115205845
|
Signature of
Role |
Plan administrator |
Date |
2014-02-13 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
|
SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2012
|
111946070
|
2013-06-04
|
SOUTH NASSAU PEDIATRICS, LLP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163791535
|
Plan sponsor’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
Role |
Employer/plan sponsor |
Date |
2013-05-23 |
Name of individual signing |
SUANNE KOWAL-CONNELLY |
|
|
SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2011
|
111946070
|
2012-08-09
|
SOUTH NASSAU PEDIATRICS, LLP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163791535
|
Plan sponsor’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035
|
Plan administrator’s name and address
Administrator’s EIN |
111946070 |
Plan administrator’s name |
SOUTH NASSAU PEDIATRICS, LLP |
Plan administrator’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035 |
Administrator’s telephone number |
5163791535 |
Signature of
Role |
Plan administrator |
Date |
2012-08-09 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
|
SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2010
|
111946070
|
2011-05-10
|
SOUTH NASSAU PEDIATRICS, LLP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163791535
|
Plan sponsor’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035
|
Plan administrator’s name and address
Administrator’s EIN |
111946070 |
Plan administrator’s name |
SOUTH NASSAU PEDIATRICS, LLP |
Plan administrator’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035 |
Administrator’s telephone number |
5163791535 |
Signature of
Role |
Plan administrator |
Date |
2011-05-10 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
|
SOUTH NASSAU PEDIATRICS, LLP 401(K)/PROFIT SHARING PLAN
|
2009
|
111946070
|
2010-08-17
|
SOUTH NASSAU PEDIATRICS, LLP
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163791535
|
Plan sponsor’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035
|
Plan administrator’s name and address
Administrator’s EIN |
111946070 |
Plan administrator’s name |
SOUTH NASSAU PEDIATRICS, LLP |
Plan administrator’s
address |
55 NORTH OCEAN AVENUE, FREEPORT, NY, 115203035 |
Administrator’s telephone number |
5163791535 |
Signature of
Role |
Plan administrator |
Date |
2010-08-17 |
Name of individual signing |
SUANNE KOWAL-CONNELLY, PARTNER |
|
|