MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2013
|
112439086
|
2014-08-19
|
MEDHAT F. SAMI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169224760
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Signature of
Role |
Plan administrator |
Date |
2014-08-19 |
Name of individual signing |
VIVIANE SAMI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2012
|
112439086
|
2013-08-23
|
MEDHAT F. SAMI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5169224760
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Signature of
Role |
Plan administrator |
Date |
2013-08-23 |
Name of individual signing |
VIVIANE SAMI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2011
|
112439086
|
2012-09-14
|
MEDHAT F. SAMI, M.D., P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7182780440
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
112439086 |
Plan administrator’s name |
MEDHAT F. SAMI, M.D., P.C. |
Plan administrator’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791 |
Administrator’s telephone number |
7182780440 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
MEDHAT SAMI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
112439086
|
2011-09-22
|
MEDHAT F. SAMI, M.D., P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7182780440
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
112439086 |
Plan administrator’s name |
MEDHAT F. SAMI, M.D., P.C. |
Plan administrator’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791 |
Administrator’s telephone number |
7182780440 |
Signature of
Role |
Plan administrator |
Date |
2011-09-22 |
Name of individual signing |
MEDHAT SAMI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
112439086
|
2010-12-10
|
MEDHAT F. SAMI, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7182780440
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
112439086 |
Plan administrator’s name |
MEDHAT F. SAMI, M.D., P.C. |
Plan administrator’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791 |
Administrator’s telephone number |
7182780440 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
ELIZABETH CAPONITI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
112439086
|
2010-10-14
|
MEDHAT F. SAMI, M.D., P.C.
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7182780440
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
112439086 |
Plan administrator’s name |
MEDHAT F. SAMI, M.D., P.C. |
Plan administrator’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791 |
Administrator’s telephone number |
7182780440 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
ELIZABETH CAPONITI |
|
|
MEDHAT F. SAMI, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
112439086
|
2010-10-14
|
MEDHAT F. SAMI, M.D., P.C.
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
7182780440
|
Plan sponsor’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791
|
Plan administrator’s name and address
Administrator’s EIN |
112439086 |
Plan administrator’s name |
MEDHAT F. SAMI, M.D., P.C. |
Plan administrator’s
address |
35 FOXHUNT CRESCENT, SYOSSET, NY, 11791 |
Administrator’s telephone number |
7182780440 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
ELIZABETH CAPONITI |
|
|