PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2016
|
113616414
|
2017-03-31
|
PREMIUM MEDICAL CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2015
|
113616414
|
2016-07-21
|
PREMIUM MEDICAL CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2014
|
113616414
|
2015-09-23
|
PREMIUM MEDICAL CARE, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2013
|
113616414
|
2014-10-14
|
PREMIUM MEDICAL CARE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2012
|
113616414
|
2013-09-13
|
PREMIUM MEDICAL CARE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
Signature of
Role |
Plan administrator |
Date |
2013-09-13 |
Name of individual signing |
SUZANNE MALEN |
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2011
|
113616414
|
2012-10-15
|
PREMIUM MEDICAL CARE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
Plan administrator’s name and address
Administrator’s EIN |
113616414 |
Plan administrator’s name |
PREMIUM MEDICAL CARE, P.C. |
Plan administrator’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355 |
Administrator’s telephone number |
7189618881 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
SUZANNE MALEN |
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2010
|
113616414
|
2011-07-29
|
PREMIUM MEDICAL CARE, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
Plan administrator’s name and address
Administrator’s EIN |
113616414 |
Plan administrator’s name |
PREMIUM MEDICAL CARE, P.C. |
Plan administrator’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355 |
Administrator’s telephone number |
7189618881 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
SUZANNE MALEN |
|
|
PREMIUM MEDICAL CARE, P.C. DEFINED BENEFIT PLAN
|
2009
|
113616414
|
2010-10-13
|
PREMIUM MEDICAL CARE, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189618881
|
Plan sponsor’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355
|
Plan administrator’s name and address
Administrator’s EIN |
113616414 |
Plan administrator’s name |
PREMIUM MEDICAL CARE, P.C. |
Plan administrator’s
address |
132-03 SANFORD AVE 1C, FLUSHING, NY, 11355 |
Administrator’s telephone number |
7189618881 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
SUZANNE MALEN |
|
|