DAVID L. EYSLER, M.D., P.C. PROFIT-SHARING TRUST
|
2010
|
113283689
|
2011-04-12
|
DAVID L. EYSLER, M.D., P.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169373881
|
Plan sponsor’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801
|
Plan administrator’s name and address
Administrator’s EIN |
113283689 |
Plan administrator’s name |
DAVID L. EYSLER, M.D., P.C. |
Plan administrator’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801 |
Administrator’s telephone number |
5169373881 |
Signature of
Role |
Plan administrator |
Date |
2011-04-12 |
Name of individual signing |
DAVID L. EYSLER, M.D. |
|
|
DAVID L. EYSLER, M.D., P.C. PROFIT-SHARING TRUST
|
2010
|
113283689
|
2011-04-13
|
DAVID L. EYSLER, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169373881
|
Plan sponsor’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801
|
Plan administrator’s name and address
Administrator’s EIN |
113283689 |
Plan administrator’s name |
DAVID L. EYSLER, M.D., P.C. |
Plan administrator’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801 |
Administrator’s telephone number |
5169373881 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
DAVID L. EYSLER, M.D. |
|
|
DAVID L. EYSLER, M.D., P.C. PROFIT-SHARING TRUST
|
2010
|
113283689
|
2011-04-13
|
DAVID L. EYSLER, M.D., P.C.
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169373881
|
Plan sponsor’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801
|
Plan administrator’s name and address
Administrator’s EIN |
113283689 |
Plan administrator’s name |
DAVID L. EYSLER, M.D., P.C. |
Plan administrator’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801 |
Administrator’s telephone number |
5169373881 |
Signature of
Role |
Plan administrator |
Date |
2011-04-13 |
Name of individual signing |
DAVID L. EYSLER, M.D. |
|
|
DAVID L. EYSLER, M.D., P.C. PROFIT-SHARING TRUST
|
2009
|
113283689
|
2010-09-22
|
DAVID L. EYSLER, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169373881
|
Plan sponsor’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801
|
Plan administrator’s name and address
Administrator’s EIN |
113283689 |
Plan administrator’s name |
DAVID L. EYSLER, M.D., P.C. |
Plan administrator’s
address |
400 SOUTH OYSTER BAY ROAD / STE 106, HICKSVILLE, NY, 11801 |
Administrator’s telephone number |
5169373881 |
Signature of
Role |
Plan administrator |
Date |
2010-09-22 |
Name of individual signing |
DAVID L. EYSLER, M.D. |
|
|