STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
113324412
|
2020-10-15
|
STATEN ISLAND HEART, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVENUE, SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
113324412
|
2019-10-15
|
STATEN ISLAND HEART, P.C.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVENUE, SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PL
|
2017
|
113324412
|
2018-10-15
|
STATEN ISLAND HEART, P.C.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
113324412
|
2017-10-03
|
STATEN ISLAND HEART, P.C.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
113324412
|
2016-10-13
|
STATEN ISLAND HEART, P.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
113324412
|
2015-10-07
|
STATEN ISLAND HEART, P.C.
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
113324412
|
2014-10-15
|
STATEN ISLAND HEART, P.C.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
113324412
|
2013-10-14
|
STATEN ISLAND HEART, P.C.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JAMES LAFFERTY |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
113324412
|
2012-10-15
|
STATEN ISLAND HEART, P.C.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Plan administrator’s name and address
Administrator’s EIN |
113324412 |
Plan administrator’s name |
STATEN ISLAND HEART, P.C. |
Plan administrator’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305 |
Administrator’s telephone number |
7186637027 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JAMES LAFFERTY |
|
|
STATEN ISLAND HEART, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
113324412
|
2011-10-17
|
STATEN ISLAND HEART, P.C.
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7186637027
|
Plan sponsor’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305
|
Plan administrator’s name and address
Administrator’s EIN |
113324412 |
Plan administrator’s name |
STATEN ISLAND HEART, P.C. |
Plan administrator’s
address |
501 SEAVIEW AVE., SUITE 300, STATEN ISLAND, NY, 10305 |
Administrator’s telephone number |
7186637027 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
JAMES LAFFERTY |
|
|