|
REFRESH PSYCHOTHERAPY LCSW 401(K) PLAN
|
2023
|
824982645
|
2024-09-19
|
REFRESH PSYCHOTHERAPY, LCSW, PLLC
|
48
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6466854422
|
| Plan sponsor’s
address |
159 20TH STREET, SUITE 1B, BROOKLYN, NY, 11232
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-19 |
| Name of individual signing |
MICHAEL VANDERFORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
REFRESH PSYCHOTHERAPY LCSW 401(K) PLAN
|
2022
|
824982645
|
2023-10-11
|
REFRESH PSYCHOTHERAPY, LCSW, PLLC
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6466854422
|
| Plan sponsor’s
address |
159 20TH STREET, SUITE 1B, BROOKLYN, NY, 11232
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-11 |
| Name of individual signing |
MICHAEL VANDERFORD |
|
|
|
REFRESH PSYCHOTHERAPY LCSW 401(K) PLAN
|
2021
|
824982645
|
2022-05-31
|
REFRESH PSYCHOTHERAPY LCSW PLLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6466854422
|
| Plan sponsor’s
address |
159 20TH ST, STE 1B, BROOKLYN, NY, 11232
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2022-05-31 |
| Name of individual signing |
CHRISTINE RIMER |
|
|
|
REFRESH PSYCHOTHERAPY LCSW 401(K) PLAN
|
2020
|
824982645
|
2021-04-27
|
REFRESH PSYCHOTHERAPY LCSW PLLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6466854422
|
| Plan sponsor’s
address |
159 20TH STREET, SUITE 1B, BROOKLYN, NY, 11232
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2021-04-27 |
| Name of individual signing |
CAROL HO |
|
|
|
REFRESH PSYCHOTHERAPY LCSW 401(K) PLAN
|
2019
|
824982645
|
2020-07-03
|
REFRESH PSYCHOTHERAPY LCSW PLLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
6466854499
|
| Plan sponsor’s
address |
247 PROSPECT AVE, 4TH FLOOR, BROOKLYN, NY, 11215
|
Plan administrator’s name and address
| Administrator’s EIN |
474474775 |
| Plan administrator’s name |
GUIDELINE, INC. |
| Plan administrator’s
address |
3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number |
8882283491 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-02 |
| Name of individual signing |
CAROL HO |
|
|
