UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
141790170
|
2020-06-18
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
BRUCE K BARACH |
|
Role |
Employer/plan sponsor |
Date |
2020-06-18 |
Name of individual signing |
BRUCE K BARCH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
141790170
|
2019-05-14
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2019-05-14 |
Name of individual signing |
BRUCE K BARACH |
|
Role |
Employer/plan sponsor |
Date |
2019-05-14 |
Name of individual signing |
BRUCE K BARCH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
141790170
|
2018-07-12
|
UPSTATE PLASTIC SURGERY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
BRUCE K BARACH |
|
Role |
Employer/plan sponsor |
Date |
2018-07-12 |
Name of individual signing |
BRUCE K BARCH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
141790170
|
2017-07-10
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
BRUCE K BARACH |
|
Role |
Employer/plan sponsor |
Date |
2017-06-27 |
Name of individual signing |
BRUCE K BARCH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
141790170
|
2016-07-18
|
UPSTATE PLASTIC SURGERY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
BRUCE K BARACH MD |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
BRUCE K. BARACH, M.D. |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
141790170
|
2015-08-27
|
UPSTATE PLASTIC SURGERY, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2015-08-26 |
Name of individual signing |
BRUCE K BARACH MD |
|
Role |
Employer/plan sponsor |
Date |
2015-08-26 |
Name of individual signing |
BRUCE K. BARACH, M.D. |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
141790170
|
2014-07-18
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
BRUCE BARACH |
|
Role |
Employer/plan sponsor |
Date |
2014-07-17 |
Name of individual signing |
BRUCE BARACH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
141790170
|
2013-05-28
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Signature of
Role |
Plan administrator |
Date |
2013-05-25 |
Name of individual signing |
BRUCE BARACH |
|
Role |
Employer/plan sponsor |
Date |
2013-05-25 |
Name of individual signing |
BRUCE BARACH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
141790170
|
2012-07-03
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Plan administrator’s name and address
Administrator’s EIN |
141790170 |
Plan administrator’s name |
UPSTATE PLASTIC SURGERY, P.C. |
Plan administrator’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309 |
Administrator’s telephone number |
5183463125 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
BRUCE BARACH |
|
|
UPSTATE PLASTIC SURGERY, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
141790170
|
2011-06-17
|
UPSTATE PLASTIC SURGERY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-06-01
|
Business code |
621111
|
Sponsor’s telephone number |
5183463125
|
Plan sponsor’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309
|
Plan administrator’s name and address
Administrator’s EIN |
141790170 |
Plan administrator’s name |
UPSTATE PLASTIC SURGERY, P.C. |
Plan administrator’s
address |
1201 NOTT STREET, SUITE 303, SCHENECTADY, NY, 12309 |
Administrator’s telephone number |
5183463125 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
BRUCE BARACH |
|
|