|
LEWIN, FAGEN & LOWN, MD, PC PROFIT SHARING PLAN
|
2012
|
112250021
|
2013-07-12
|
LEWIN, FAGEN & LOWN, M.D., P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-12-03
|
| Business code |
621111
|
| Sponsor’s telephone number |
6318644499
|
| Plan sponsor’s mailing address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
| Plan sponsor’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-03-13 |
| Name of individual signing |
JONATHAN LOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEWIN, FAGEN & LOWN, MD, PC PROFIT SHARING PLAN
|
2011
|
112250021
|
2012-09-29
|
LEWIN, FAGEN & LOWN, M.D., P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-12-03
|
| Business code |
621111
|
| Sponsor’s telephone number |
6318644499
|
| Plan sponsor’s mailing address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
| Plan sponsor’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
| Administrator’s EIN |
112250021 |
| Plan administrator’s name |
LEWIN, FAGEN & LOWN, M.D., P.C. |
| Plan administrator’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787 |
| Administrator’s telephone number |
6318644499 |
Number of participants as of the end of the plan year
| Active participants |
13 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
12 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-20 |
| Name of individual signing |
JONATHAN LOWN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEWIN, FAGEN & LOWN, MD, PC PROFIT SHARING PLAN
|
2010
|
112250021
|
2011-06-15
|
LEWIN, FAGEN & LOWN, M.D., P.C.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-12-03
|
| Business code |
621111
|
| Sponsor’s telephone number |
6318644499
|
| Plan sponsor’s mailing address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
| Plan sponsor’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
| Administrator’s EIN |
112250021 |
| Plan administrator’s name |
LEWIN, FAGEN & LOWN, M.D., P.C. |
| Plan administrator’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787 |
| Administrator’s telephone number |
6318644499 |
Number of participants as of the end of the plan year
| Active participants |
13 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
13 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-18 |
| Name of individual signing |
RICHARD LEWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LEWIN, FAGEN & LOWN, MD, PC PROFIT SHARING PLAN
|
2009
|
112250021
|
2010-10-06
|
LEWIN, FAGEN & LOWN, M.D., P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1973-12-03
|
| Business code |
621111
|
| Sponsor’s telephone number |
6318644499
|
| Plan sponsor’s mailing address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
| Plan sponsor’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787
|
Plan administrator’s name and address
| Administrator’s EIN |
112250021 |
| Plan administrator’s name |
LEWIN, FAGEN & LOWN, M.D., P.C. |
| Plan administrator’s
address |
994 JERICHO TURNPIKE, SUITE 201, SMITHTOWN, NY, 11787 |
| Administrator’s telephone number |
6318644499 |
Number of participants as of the end of the plan year
| Active participants |
12 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
2 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
14 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
RICHARD LEWIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
