SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2015
|
111988108
|
2016-07-26
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
SUSAN OSTUNI |
|
|
401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
111988108
|
2017-11-30
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2017-11-30 |
Name of individual signing |
SUSAN OSTUNI |
|
Role |
Employer/plan sponsor |
Date |
2017-11-30 |
Name of individual signing |
SUSAN OSTUNI |
|
|
401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
111988108
|
2017-01-31
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2017-01-31 |
Name of individual signing |
SUSAN OSTUNI |
|
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2014
|
111988108
|
2015-09-23
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2015-09-23 |
Name of individual signing |
SUSAN OSTUNI |
|
|
401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
111988108
|
2017-11-30
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2017-11-30 |
Name of individual signing |
SUSAN OSTUNI |
|
Role |
Employer/plan sponsor |
Date |
2017-11-30 |
Name of individual signing |
SUSAN OSTUNI |
|
|
401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
111988108
|
2017-01-31
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 W MERRICK ROAD, STE 101, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2017-01-31 |
Name of individual signing |
SUSAN OSTUNI |
|
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2013
|
111988108
|
2014-10-07
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
SUSAN OSTUNI |
|
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2012
|
111988108
|
2013-06-12
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
SUSAN OSTUNI |
|
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2011
|
111988108
|
2012-10-11
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Plan administrator’s name and address
Administrator’s EIN |
111988108 |
Plan administrator’s name |
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP |
Plan administrator’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520 |
Administrator’s telephone number |
5163793139 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
SUSAN OSTUNI |
|
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES KEOGH PLAN
|
2010
|
111988108
|
2012-10-11
|
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5163793139
|
Plan sponsor’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520
|
Plan administrator’s name and address
Administrator’s EIN |
111988108 |
Plan administrator’s name |
SOUTH NASSAU INTERNAL MEDICINE ASSOCIATES, LLP |
Plan administrator’s
address |
155 WEST MERRICK ROAD, FREEPORT, NY, 11520 |
Administrator’s telephone number |
5163793139 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
SUSAN OSTUNI |
|
|