RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2018
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810554500
|
2019-09-13
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RICKY K. HSU, M.D., P.C.
|
1
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
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Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
352 SEVENTH AVENUE, SUITE 1205, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2019-09-13 |
Name of individual signing |
DR. RICKY K. HSU |
|
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RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2017
|
810554500
|
2018-09-16
|
RICKY K. HSU, M.D., P.C.
|
9
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
352 SEVENTH AVENUE, SUITE 1205, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2018-09-16 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2016
|
810554500
|
2017-07-15
|
RICKY K. HSU, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
352 SEVENTH AVENUE, SUITE 1205, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2017-07-15 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2015
|
810554500
|
2017-07-21
|
RICKY K. HSU, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2017-07-21 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2015
|
810554500
|
2016-10-04
|
RICKY K. HSU, M.D., P.C.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2016-10-04 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2014
|
810554500
|
2015-10-13
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RICKY K. HSU, M.D., P.C.
|
8
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2013
|
810554500
|
2014-09-23
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RICKY K. HSU, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2014-09-23 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2012
|
810554500
|
2013-10-04
|
RICKY K. HSU, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2011
|
810554500
|
2012-03-20
|
RICKY K. HSU, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Plan administrator’s name and address
Administrator’s EIN |
810554500 |
Plan administrator’s name |
RICKY K. HSU, M.D., P.C. |
Plan administrator’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011 |
Administrator’s telephone number |
2126277560 |
Signature of
Role |
Plan administrator |
Date |
2012-03-20 |
Name of individual signing |
DR. RICKY K. HSU |
|
|
RICKY K. HSU, M.D., P.C. INCENTIVE SAVINGS TRUST
|
2010
|
810554500
|
2011-04-18
|
RICKY K. HSU, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2126277560
|
Plan sponsor’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011
|
Plan administrator’s name and address
Administrator’s EIN |
810554500 |
Plan administrator’s name |
RICKY K. HSU, M.D., P.C. |
Plan administrator’s
address |
154 WEST 14TH STREET, NEW YORK, NY, 10011 |
Administrator’s telephone number |
2126277560 |
Signature of
Role |
Plan administrator |
Date |
2011-04-18 |
Name of individual signing |
DR. RICKY K. HSU |
|
|