SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2013
|
112225232
|
2014-09-10
|
SCLAFANI-VITALE, M.D., P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Signature of
Role |
Plan administrator |
Date |
2014-09-10 |
Name of individual signing |
ALDO VITALE |
|
|
SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2012
|
112225232
|
2014-09-10
|
SCLAFANI-VITALE, M.D., P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Signature of
Role |
Plan administrator |
Date |
2014-09-10 |
Name of individual signing |
ALDO VITALE |
|
|
SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2012
|
112225232
|
2013-09-04
|
SCLAFANI-VITALE, M.D., P.C.
|
21
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Signature of
Role |
Plan administrator |
Date |
2013-09-04 |
Name of individual signing |
ALDO VITALE |
|
Role |
Employer/plan sponsor |
Date |
2013-09-04 |
Name of individual signing |
ALDO VITALE |
|
|
SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2011
|
112225232
|
2012-09-03
|
SCLAFANI-VITALE, M.D., P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112225232 |
Plan administrator’s name |
SCLAFANI-VITALE, M.D., P.C. |
Plan administrator’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188331808 |
Signature of
Role |
Plan administrator |
Date |
2012-09-03 |
Name of individual signing |
ALDO VITALE |
|
|
SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2010
|
112225232
|
2011-09-12
|
SCLAFANI-VITALE, M.D., P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112225232 |
Plan administrator’s name |
SCLAFANI-VITALE, M.D., P.C. |
Plan administrator’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188331808 |
Signature of
Role |
Plan administrator |
Date |
2011-09-12 |
Name of individual signing |
RALPH MAROTHY |
|
|
SCLAFANI-VITALE, M.D., P.C. RETIREMENT TRUST
|
2009
|
112225232
|
2010-09-30
|
SCLAFANI-VITALE, M.D., P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1988-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7188331808
|
Plan sponsor’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209
|
Plan administrator’s name and address
Administrator’s EIN |
112225232 |
Plan administrator’s name |
SCLAFANI-VITALE, M.D., P.C. |
Plan administrator’s
address |
9711 3RD AVENUE, BROOKLYN, NY, 11209 |
Administrator’s telephone number |
7188331808 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
ALDO VITALE |
|
|