ISLAND MEDICINE, PLLC 401(K) PLAN
|
2021
|
261554297
|
2022-07-10
|
CENTERPORT FAMILY MEDICINE, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317577500
|
Plan sponsor’s
address |
210 EAST MAIN STREET #1, HUNTINGTON, NY, 11743
|
Signature of
Role |
Plan administrator |
Date |
2022-07-10 |
Name of individual signing |
DR. PATRICK BURNS |
|
|
ISLAND MEDICINE, PLLC 401(K) PLAN
|
2021
|
261554297
|
2022-07-18
|
CENTERPORT FAMILY MEDICINE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317577500
|
Plan sponsor’s
address |
210 EAST MAIN STREET #1, HUNTINGTON, NY, 11743
|
Signature of
Role |
Plan administrator |
Date |
2022-07-18 |
Name of individual signing |
DR. PATRICK BURNS |
|
|
ISLAND MEDICINE, PLLC 401(K) PLAN
|
2020
|
261554297
|
2021-07-19
|
CENTERPORT FAMILY MEDICINE, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317577500
|
Plan sponsor’s
address |
210 EAST MAIN STREET #1, HUNTINGTON, NY, 11743
|
Signature of
Role |
Plan administrator |
Date |
2021-07-19 |
Name of individual signing |
DR. PATRICK BURNS |
|
|
ISLAND MEDICINE, PLLC 401(K) PLAN
|
2019
|
261554297
|
2020-05-06
|
CENTERPORT FAMILY MEDICINE, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317577500
|
Plan sponsor’s
address |
210 EAST MAIN STREET #1, HUNTINGTON, NY, 11743
|
Signature of
Role |
Plan administrator |
Date |
2020-05-06 |
Name of individual signing |
DR. PATRICK BURNS |
|
|
ISLAND MEDICINE, PLLC 401(K) PLAN
|
2018
|
261554297
|
2019-05-01
|
CENTERPORT FAMILY MEDICINE, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
6317577500
|
Plan sponsor’s
address |
210 EAST MAIN STREET #1, HUNTINGTON, NY, 11743
|
Signature of
Role |
Plan administrator |
Date |
2019-05-01 |
Name of individual signing |
DR. PATRICK BURNS |
|
|