VILLAGE FAMILY PRACTICE 401(K) PLAN
|
2022
|
133851753
|
2023-10-12
|
VILLAGE FAMILY PRACTICE P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2124771750
|
Plan sponsor’s
address |
30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
JERRY CLEMENTS |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
JERRY CLEMENTS |
|
|
VILLAGE FAMILY PRACTICE 401(K) PLAN
|
2022
|
133851753
|
2023-10-12
|
VILLAGE FAMILY PRACTICE P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2124771750
|
Plan sponsor’s
address |
30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
JERRY CLEMENTS |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
JERRY CLEMENTS |
|
|
VILLAGE FAMILY PRACTICE 401(K) PLAN
|
2020
|
133851753
|
2021-06-10
|
VILLAGE FAMILY PRACTICE P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2124771750
|
Plan sponsor’s
address |
30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2021-06-10 |
Name of individual signing |
JERRY CLEMENTS |
|
Role |
Employer/plan sponsor |
Date |
2021-06-10 |
Name of individual signing |
JERRY CLEMENTS |
|
|
VILLAGE FAMILY PRACTICE 401(K) PLAN
|
2018
|
133851753
|
2019-09-25
|
VILLAGE FAMILY PRACTICE P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2124771750
|
Plan sponsor’s
address |
30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
JERRY CLEMENTS |
|
Role |
Employer/plan sponsor |
Date |
2019-09-25 |
Name of individual signing |
JERRY CLEMENTS |
|
|
VILLAGE FAMILY PRACTICE 401(K) PLAN
|
2017
|
133851753
|
2018-05-28
|
VILLAGE FAMILY PRACTICE P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
2124771750
|
Plan sponsor’s
address |
30 FIFTH AVENUE, SUITE 1E, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2018-05-28 |
Name of individual signing |
JERRY CLEMENTS |
|
Role |
Employer/plan sponsor |
Date |
2018-05-28 |
Name of individual signing |
JERRY CLEMENTS |
|
|