WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
260057222
|
2015-03-26
|
WOJCIECH PALKA, M.D., P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
|
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
260057222
|
2014-03-10
|
WOJCIECH PALKA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
|
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
260057222
|
2013-05-10
|
WOJCIECH PALKA, M.D., P.C.
|
2
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
Signature of
Role |
Plan administrator |
Date |
2013-05-10 |
Name of individual signing |
WOJCIECH PALKA |
|
Role |
Employer/plan sponsor |
Date |
2013-05-10 |
Name of individual signing |
WOJCIECH PALKA |
|
|
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
260057222
|
2013-05-10
|
WOJCIECH PALKA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
Signature of
Role |
Plan administrator |
Date |
2013-05-10 |
Name of individual signing |
WOJCIECH PALKA |
|
Role |
Employer/plan sponsor |
Date |
2013-05-10 |
Name of individual signing |
WOJCIECH PALKA |
|
|
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
260057222
|
2012-07-27
|
WOJCIECH PALKA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
Plan administrator’s name and address
Administrator’s EIN |
260057222 |
Plan administrator’s name |
WOJCIECH PALKA, M.D., P.C. |
Plan administrator’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023 |
Administrator’s telephone number |
2127879318 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
WOJCIECH PALKA |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
WOJCIECH PALKA |
|
|
WOJCIECH PALKA, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
260057222
|
2011-07-25
|
WOJCIECH PALKA, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2127879318
|
Plan sponsor’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023
|
Plan administrator’s name and address
Administrator’s EIN |
260057222 |
Plan administrator’s name |
WOJCIECH PALKA, M.D., P.C. |
Plan administrator’s
address |
30 WEST 70TH STREET, APT 3-C, NEW YORK, NY, 10023 |
Administrator’s telephone number |
2127879318 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
WOJCIECH PALKA |
|
Role |
Employer/plan sponsor |
Date |
2011-07-25 |
Name of individual signing |
WOJCIECH PALKA |
|
|