ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2019
|
113569363
|
2020-03-25
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2020-03-25 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2018
|
113569363
|
2019-07-29
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2017
|
113569363
|
2018-10-11
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2016
|
113569363
|
2017-10-16
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2015
|
113569363
|
2016-10-14
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2016-10-14 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2014
|
113569363
|
2015-10-13
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2013
|
113569363
|
2014-10-15
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE P
|
2012
|
113569363
|
2013-10-15
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC 401(K)/PROFIT SHARING PLAN
|
2011
|
113569363
|
2012-10-15
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
37-37 75TH STREET, P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Plan administrator’s name and address
Administrator’s EIN |
113569363 |
Plan administrator’s name |
ADVANCED UROLOGY ASSOCIATES, LLC |
Plan administrator’s
address |
37-37 75TH STREET, P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372 |
Administrator’s telephone number |
5163167561 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MICHAEL OSTAD |
|
|
ADVANCED UROLOGY ASSOCIATES, LLC CASH BALANCE PLAN
|
2011
|
113569363
|
2012-10-15
|
ADVANCED UROLOGY ASSOCIATES, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163167561
|
Plan sponsor’s
address |
37-37 75TH STREET, P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372
|
Plan administrator’s name and address
Administrator’s EIN |
113569363 |
Plan administrator’s name |
ADVANCED UROLOGY ASSOCIATES, LLC |
Plan administrator’s
address |
37-37 75TH STREET, P.O. BOX 720066, JACKSON HEIGHTS, NY, 11372 |
Administrator’s telephone number |
5163167561 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MICHAEL OSTAD |
|
|