|
CAVERO, FERNANDEZ, M.D., P.C., MONEY PURCHASE PENSION PLAN
|
2009
|
112327105
|
2010-09-29
|
CAVERO, FERNANDEZ, M.D., P.C.
|
1
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9148348792
|
| Plan sponsor’s mailing address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
| Plan sponsor’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
Plan administrator’s name and address
| Administrator’s EIN |
112327105 |
| Plan administrator’s name |
CAVERO, FERNANDEZ, M.D., P.C. |
| Plan administrator’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538 |
| Administrator’s telephone number |
9148348792 |
Number of participants as of the end of the plan year
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-23 |
| Name of individual signing |
RAFAEL CAVERO |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
CAVERO, FERNANDEZ, M.D., P.C., MONEY PURCHASE PENSION PLAN
|
2009
|
112327105
|
2010-10-04
|
CAVERO, FERNANDEZ, M.D., P.C.
|
1
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9148348792
|
| Plan sponsor’s mailing address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
| Plan sponsor’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
Plan administrator’s name and address
| Administrator’s EIN |
112327105 |
| Plan administrator’s name |
CAVERO, FERNANDEZ, M.D., P.C. |
| Plan administrator’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538 |
| Administrator’s telephone number |
9148348792 |
Number of participants as of the end of the plan year
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-05 |
| Name of individual signing |
DOUGLAS GREENWOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAVERO, FERNANDEZ, M.D., P.C., PROFIT SHARING PLAN
|
2009
|
112327105
|
2010-10-04
|
CAVERO, FERNANDEZ, M.D., P.C.
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9148348792
|
| Plan sponsor’s mailing address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
| Plan sponsor’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
Plan administrator’s name and address
| Administrator’s EIN |
112327105 |
| Plan administrator’s name |
CAVERO, FERNANDEZ, M.D., P.C. |
| Plan administrator’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538 |
| Administrator’s telephone number |
9148348792 |
Number of participants as of the end of the plan year
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
DOUGLAS GREENWOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CAVERO, FERNANDEZ, M.D., P.C., PROFIT SHARING PLAN
|
2009
|
112327105
|
2010-09-29
|
CAVERO, FERNANDEZ, M.D., P.C.
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9148348792
|
| Plan sponsor’s mailing address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
| Plan sponsor’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538
|
Plan administrator’s name and address
| Administrator’s EIN |
112327105 |
| Plan administrator’s name |
CAVERO, FERNANDEZ, M.D., P.C. |
| Plan administrator’s
address |
5 LARCH LANE, LARCHMONT, NY, 10538 |
| Administrator’s telephone number |
9148348792 |
Number of participants as of the end of the plan year
| Retired or separated participants receiving
benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-23 |
| Name of individual signing |
RAFAEL CAVERO |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
