MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2022
|
814941165
|
2024-07-09
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165390789
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-09 |
Name of individual signing |
ALLISON RAFFAELE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2021
|
814941165
|
2023-06-27
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165390789
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-27 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-27 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2020
|
814941165
|
2022-06-29
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
173
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7165390789
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-29 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-29 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2019
|
814941165
|
2021-06-10
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166913400
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 10, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-09 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-09 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2018
|
814941165
|
2020-07-10
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166913400
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 14, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 14, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC WELFARE PLAN
|
2017
|
814941165
|
2020-07-09
|
MEDICAL HEALTH ASSOCIATES OF WESTERN NEW YORK, PLLC
|
164
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-12-01
|
Business code |
621111
|
Sponsor’s telephone number |
7166913400
|
Plan sponsor’s mailing address |
8205 MAIN ST STE 14, WILLIAMSVILLE, NY, 142216054
|
Plan sponsor’s
address |
8205 MAIN ST STE 14, WILLIAMSVILLE, NY, 142216054
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-08 |
Name of individual signing |
CHRISTOPHER TIRABASSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|