RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2019
|
134055426
|
2020-10-15
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
RUBEN CARVAJAL |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
RUBEN CARVAJAL |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2018
|
134055426
|
2019-10-06
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2019-10-06 |
Name of individual signing |
RUBEN U. CARVAJAL |
|
Role |
Employer/plan sponsor |
Date |
2019-10-06 |
Name of individual signing |
RUBEN U. CARVAJAL |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2017
|
134055426
|
2018-10-12
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
RUBEN CARVAJAL |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
RUBEN CARVAJAL |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2016
|
134055426
|
2017-09-22
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2017-09-22 |
Name of individual signing |
RUBEN U. CARVAJAL, M.D. |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2015
|
134055426
|
2016-09-26
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2016-09-26 |
Name of individual signing |
RUBEN U. CARVAJAL, M.D. |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2014
|
134055426
|
2015-09-29
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2015-09-29 |
Name of individual signing |
RUBEN U. CARVAJAL, M.D. |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2013
|
134055426
|
2014-09-23
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2014-09-23 |
Name of individual signing |
RUBEN U. CARVAJAL, M.D. |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2012
|
134055426
|
2013-09-25
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
RUBEN U. CARVAJAL, MD |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2011
|
134055426
|
2012-10-12
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
9148447936
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Plan administrator’s name and address
Administrator’s EIN |
134055426 |
Plan administrator’s name |
RUBEN U. CARVAJAL, M.D., P.C. |
Plan administrator’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905 |
Administrator’s telephone number |
9148447936 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
RUBEN U. CARVAJAL, M.D. |
|
|
RUBEN U. CARVAJAL, M.D., P.C. DEFINED BENEFIT PLAN
|
2010
|
134055426
|
2011-05-16
|
RUBEN U. CARVAJAL, M.D., P.C.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7187332621
|
Plan sponsor’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905
|
Plan administrator’s name and address
Administrator’s EIN |
134055426 |
Plan administrator’s name |
RUBEN U. CARVAJAL, M.D., P.C. |
Plan administrator’s
address |
2271 GRAND AVENUE, BRONX, NY, 104686905 |
Administrator’s telephone number |
7187332621 |
Signature of
Role |
Plan administrator |
Date |
2011-05-15 |
Name of individual signing |
RUBEN U. CARVAJAL MDPC |
|
|