SAI MEDICAL P.C. 401(K) PLAN
|
2018
|
208066796
|
2019-09-12
|
SAI MEDICAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
15 BUCKINGHAM DRIVE, DIX HILLS, NY, 11746
|
Signature of
Role |
Plan administrator |
Date |
2019-09-12 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|
SAI MEDICAL P.C. 401(K) PLAN
|
2018
|
208066796
|
2019-09-27
|
SAI MEDICAL P.C.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
15 BUCKINGHAM DRIVE, DIX HILLS, NY, 11746
|
Signature of
Role |
Plan administrator |
Date |
2019-09-27 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|
SAI MEDICAL P.C. 401(K) PLAN
|
2017
|
208066796
|
2018-06-18
|
SAI MEDICAL P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
15 BUCKINGHAM DRIVE, DIX HILLS, NY, 11746
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|
SAI MEDICAL P.C. 401(K) PLAN
|
2016
|
208066796
|
2017-06-24
|
SAI MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
15 BUCKINGHAM DRIVE, DIX HILLS, NY, 11746
|
Signature of
Role |
Plan administrator |
Date |
2017-06-24 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|
SAI MEDICAL P.C. 401(K) PLAN
|
2015
|
208066796
|
2016-09-26
|
SAI MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
15 BUCKINGHAM DRIVE, DIX HILLS, NY, 11746
|
Signature of
Role |
Plan administrator |
Date |
2016-09-26 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|
SAI MEDICAL P.C. 401(K) PLAN
|
2014
|
208066796
|
2015-07-29
|
SAI MEDICAL P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7189391991
|
Plan sponsor’s
address |
122-16 18TH AVENUE, COLLEGE POINT, NY, 11356
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
SUHASINI JONNAVITHULA |
|
|