UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN
|
2023
|
473745662
|
2024-10-07
|
UNIVERSAL DERMATOLOGY, PLLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2024-10-07 |
Name of individual signing |
BRIAN POLIGONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-07 |
Name of individual signing |
BRIAN POLIGONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN
|
2023
|
473745662
|
2024-10-07
|
UNIVERSAL DERMATOLOGY, PLLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2024-10-07 |
Name of individual signing |
BRIAN POLIGONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-07 |
Name of individual signing |
BRIAN POLIGONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN
|
2022
|
473745662
|
2023-09-22
|
UNIVERSAL DERMATOLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2023-09-22 |
Name of individual signing |
BRIAN POLIGONE |
|
Role |
Employer/plan sponsor |
Date |
2023-09-22 |
Name of individual signing |
BRIAN POLIGONE |
|
|
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN
|
2022
|
473745662
|
2023-09-22
|
UNIVERSAL DERMATOLOGY, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2023-09-22 |
Name of individual signing |
BRIAN POLIGONE |
|
Role |
Employer/plan sponsor |
Date |
2023-09-22 |
Name of individual signing |
BRIAN POLIGONE |
|
|
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN
|
2021
|
473745662
|
2022-10-07
|
UNIVERSAL DERMATOLOGY, PLLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
|
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN
|
2021
|
473745662
|
2022-10-04
|
UNIVERSAL DERMATOLOGY, PLLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
|
UNIVERSAL DERMATOLOGY CASH BALANCE PLAN
|
2020
|
473745662
|
2021-10-12
|
UNIVERSAL DERMATOLOGY, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
BRIAN POLIGONE |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
BRIAN POLIGONE |
|
|
UNIVERSAL DERMATOLOGY 401(K) PROFIT SHARING PLAN
|
2020
|
473745662
|
2021-10-12
|
UNIVERSAL DERMATOLOGY, PLLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2020-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
5853641177
|
Plan sponsor’s
address |
6800 PITTSFORD PALMYRA ROAD, SUITE 150, FAIRPORT, NY, 14450
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
BRIAN POLIGONE |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
BRIAN POLIGONE |
|
|