EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2021
|
112578780
|
2022-11-28
|
EDWARD A. GLUCK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
8 REGENT DR, LAWRENCE, NY, 115591432
|
Signature of
Role |
Plan administrator |
Date |
2022-11-24 |
Name of individual signing |
EDWARD GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2022-11-24 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2020
|
112578780
|
2022-01-11
|
EDWARD A. GLUCK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD, FLUSHING, NY, 113757473
|
Signature of
Role |
Plan administrator |
Date |
2022-01-10 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2019
|
112578780
|
2021-02-01
|
EDWARD A. GLUCK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD, FLUSHING, NY, 113757473
|
Signature of
Role |
Plan administrator |
Date |
2021-02-01 |
Name of individual signing |
EDWARD A. GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2021-02-01 |
Name of individual signing |
EDWARD A. GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2018
|
112578780
|
2020-02-03
|
EDWARD A. GLUCK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2020-02-02 |
Name of individual signing |
EDWARD GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2020-02-02 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2017
|
112578780
|
2019-01-28
|
EDWARD A. GLUCK, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2019-01-28 |
Name of individual signing |
EDWARD GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2019-01-28 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2016
|
112578780
|
2018-04-12
|
EDWARD A. GLUCK, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2018-04-12 |
Name of individual signing |
EDWARD GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2018-04-12 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2015
|
112578780
|
2017-02-16
|
EDWARD A. GLUCK, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2017-02-15 |
Name of individual signing |
EDWARD GLUCK |
|
Role |
Employer/plan sponsor |
Date |
2017-02-15 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2014
|
112578780
|
2016-01-11
|
EDWARD A. GLUCK, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2016-01-11 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2013
|
112578780
|
2015-01-15
|
EDWARD A. GLUCK, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2015-01-15 |
Name of individual signing |
EDWARD GLUCK |
|
|
EDWARD A. GLUCK, M.D., P.C. RETIREMENT TRUST
|
2012
|
112578780
|
2014-01-28
|
EDWARD A. GLUCK, M.D.,P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-10-14
|
Business code |
621111
|
Sponsor’s telephone number |
7182633737
|
Plan sponsor’s
address |
11203 QUEENS BLVD., FLUSHING, NY, 113755554
|
Signature of
Role |
Plan administrator |
Date |
2014-01-28 |
Name of individual signing |
EDWARD GLUCK |
|
|