MEDSMITH MEDICAL P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
203609000
|
2017-01-09
|
MEDSMITH MEDICAL P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Signature of
Role |
Plan administrator |
Date |
2017-01-09 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
203609000
|
2016-09-22
|
MEDSMITH MEDICAL P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Signature of
Role |
Plan administrator |
Date |
2016-09-22 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2014
|
203609000
|
2015-07-23
|
MEDSMITH MEDICAL P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Signature of
Role |
Plan administrator |
Date |
2015-07-23 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2013
|
203609000
|
2014-09-17
|
MEDSMITH MEDICAL P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Signature of
Role |
Plan administrator |
Date |
2014-09-17 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2012
|
203609000
|
2013-07-19
|
MEDSMITH MEDICAL P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2011
|
203609000
|
2012-10-01
|
MEDSMITH MEDICAL P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Plan administrator’s name and address
Administrator’s EIN |
203609000 |
Plan administrator’s name |
MEDSMITH MEDICAL P.C. |
Plan administrator’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424 |
Administrator’s telephone number |
5853948170 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2010
|
203609000
|
2011-07-18
|
MEDSMITH MEDICAL P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Plan administrator’s name and address
Administrator’s EIN |
203609000 |
Plan administrator’s name |
MEDSMITH MEDICAL P.C. |
Plan administrator’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424 |
Administrator’s telephone number |
5853948170 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
ROBERT SMITH |
|
Role |
Employer/plan sponsor |
Date |
2011-07-18 |
Name of individual signing |
ROBERT SMITH |
|
|
MEDSMITH MEDICAL P.C. 401(K) PS PLAN AND TR
|
2009
|
203609000
|
2010-10-07
|
MEDSMITH MEDICAL P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853948170
|
Plan sponsor’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424
|
Plan administrator’s name and address
Administrator’s EIN |
203609000 |
Plan administrator’s name |
MEDSMITH MEDICAL P.C. |
Plan administrator’s
address |
23 NORTH STREET, SUITE 5, CANANDAIGUA, NY, 14424 |
Administrator’s telephone number |
5853948170 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
ROBERT SMITH |
|
|