DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2016
|
133968813
|
2017-10-16
|
DIMITRY RABKIN, M.D., P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2015
|
133968813
|
2016-10-17
|
DIMITRY RABKIN, M.D., P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2014
|
133968813
|
2015-10-14
|
DIMITRY RABKIN, M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2013
|
133968813
|
2014-10-08
|
DIMITRY RABKIN, M.D., P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2012
|
133968813
|
2013-09-16
|
DIMITRY RABKIN, M.D., P.C.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Signature of
Role |
Plan administrator |
Date |
2013-09-16 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2013-09-16 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2011
|
133968813
|
2012-09-13
|
DIMITRY RABKIN, M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan administrator’s name and address
Administrator’s EIN |
133968813 |
Plan administrator’s name |
DIMITRY RABKIN, M.D., P.C. |
Plan administrator’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223 |
Administrator’s telephone number |
7183396800 |
Signature of
Role |
Plan administrator |
Date |
2012-09-13 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2012-09-13 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
133968813
|
2012-01-04
|
DIMITRY RABKIN, M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan administrator’s name and address
Administrator’s EIN |
133968813 |
Plan administrator’s name |
DIMITRY RABKIN, M.D., P.C. |
Plan administrator’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223 |
Administrator’s telephone number |
7183396800 |
Signature of
Role |
Plan administrator |
Date |
2012-01-04 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2012-01-04 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
133968813
|
2011-09-15
|
DIMITRY RABKIN, M.D., P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan administrator’s name and address
Administrator’s EIN |
133968813 |
Plan administrator’s name |
DIMITRY RABKIN, M.D., P.C. |
Plan administrator’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223 |
Administrator’s telephone number |
7183396800 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2011-09-15 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
133968813
|
2011-09-15
|
DIMITRY RABKIN, M.D., P.C.
|
18
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan administrator’s name and address
Administrator’s EIN |
133968813 |
Plan administrator’s name |
DIMITRY RABKIN, M.D., P.C. |
Plan administrator’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223 |
Administrator’s telephone number |
7183396800 |
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
DIMITRY RABKIN |
|
Role |
Employer/plan sponsor |
Date |
2011-09-15 |
Name of individual signing |
DIMITRY RABKIN |
|
|
DIMITRY RABKIN, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
133968813
|
2012-01-04
|
DIMITRY RABKIN, M.D., P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7183396800
|
Plan sponsor’s mailing address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan sponsor’s
address |
DIMITRY RABKIN, MD PC, 202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223
|
Plan administrator’s name and address
Administrator’s EIN |
133968813 |
Plan administrator’s name |
DIMITRY RABKIN, M.D., P.C. |
Plan administrator’s
address |
202 QUENTIN ROAD 1ST FLOOR, BROOKLYN, NY, 11223 |
Administrator’s telephone number |
7183396800 |
Number of participants as of the end of the plan year
Active participants |
11 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
17 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-01-04 |
Name of individual signing |
DIMITRY RABKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-04 |
Name of individual signing |
DIMITRY RABKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|