ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2023
|
134096547
|
2024-06-04
|
ISLAND KIDS PEDIATRICS, P.C.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2024-06-04 |
Name of individual signing |
DENIZ CEREB MD |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2022
|
134096547
|
2023-10-02
|
ISLAND KIDS PEDIATRICS, P.C.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
DENIZ CEREB, MD |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2021
|
134096547
|
2022-09-29
|
ISLAND KIDS PEDIATRICS, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
DENIZ CEREB, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2022-09-29 |
Name of individual signing |
DENIZ CEREB, M.D., PRESIDENT |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2020
|
134096547
|
2021-08-18
|
ISLAND KIDS PEDIATRICS, P.C.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2021-08-18 |
Name of individual signing |
DENIZ CEREB, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2021-08-18 |
Name of individual signing |
DENIZ CEREB, M.D., PRESIDENT |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2020
|
134096547
|
2021-08-18
|
ISLAND KIDS PEDIATRICS, P.C.
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2021-08-18 |
Name of individual signing |
DENIZ CEREB, M.D., TRUSTEE |
|
Role |
Employer/plan sponsor |
Date |
2021-08-18 |
Name of individual signing |
DENIZ CEREB, M.D., PRESIDENT |
|
|
ISLAND KIDS PEDIATRICS P C 401(K) PROFIT SHARING PLAN
|
2019
|
134096547
|
2020-06-22
|
ISLAND KIDS PEDIATRICS P C
|
31
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-05-04
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, 1ST FLOOR, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2020-06-22 |
Name of individual signing |
SHIRLEY HORNER |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2017
|
134096547
|
2018-06-18
|
ISLAND KIDS PEDIATRICS, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
DENIZ CEREB |
|
Role |
Employer/plan sponsor |
Date |
2018-06-18 |
Name of individual signing |
DENIZ CEREB |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2016
|
134096547
|
2017-03-14
|
ISLAND KIDS PEDIATRICS, P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2017-03-14 |
Name of individual signing |
DENIZ CEREB |
|
Role |
Employer/plan sponsor |
Date |
2017-03-14 |
Name of individual signing |
DENIZ CEREB |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2015
|
134096547
|
2016-07-12
|
ISLAND KIDS PEDIATRICS, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
DENIZ CEREB |
|
Role |
Employer/plan sponsor |
Date |
2016-07-12 |
Name of individual signing |
DENIZ CEREB |
|
|
ISLAND KIDS PEDIATRICS, P.C. 401(K) PLAN
|
2014
|
134096547
|
2015-06-04
|
ISLAND KIDS PEDIATRICS, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189829001
|
Plan sponsor’s
address |
2066 RICHMOND AVENUE, STATEN ISLAND, NY, 10314
|
Signature of
Role |
Plan administrator |
Date |
2015-06-04 |
Name of individual signing |
DENIZ CEREB |
|
Role |
Employer/plan sponsor |
Date |
2015-06-04 |
Name of individual signing |
DENIZ CEREB |
|
|