RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST
|
2013
|
112575697
|
2014-04-21
|
RONALD A. BALKIN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1986-08-01
|
Business code |
621320
|
Sponsor’s telephone number |
5163270500
|
Plan sponsor’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2014-04-21 |
Name of individual signing |
RONALD A. BALKIN |
|
|
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST
|
2012
|
112575697
|
2013-10-03
|
RONALD A. BALKIN, M.D., P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1986-08-01
|
Business code |
621320
|
Sponsor’s telephone number |
5163270500
|
Plan sponsor’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
|
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
RONALD A. BALKIN |
|
|
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST
|
2011
|
112575697
|
2012-10-03
|
RONALD A. BALKIN, M.D., P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1986-08-01
|
Business code |
621320
|
Sponsor’s telephone number |
5163270500
|
Plan sponsor’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112575697 |
Plan administrator’s name |
RONALD A. BALKIN, M.D., P.C. |
Plan administrator’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5163270500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
RONALD A. BALKIN |
|
|
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST
|
2010
|
112575697
|
2011-05-19
|
RONALD A. BALKIN, M.D., P.C.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1986-08-01
|
Business code |
621320
|
Sponsor’s telephone number |
5163270500
|
Plan sponsor’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112575697 |
Plan administrator’s name |
RONALD A. BALKIN, M.D., P.C. |
Plan administrator’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5163270500 |
Signature of
Role |
Plan administrator |
Date |
2011-05-19 |
Name of individual signing |
RONALD A. BALKIN |
|
|
RONALD A. BALKIN, M.D., P.C. RETIREMENT TRUST
|
2009
|
112575697
|
2010-08-28
|
RONALD A. BALKIN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1986-08-01
|
Business code |
621320
|
Sponsor’s telephone number |
5163270500
|
Plan sponsor’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042
|
Plan administrator’s name and address
Administrator’s EIN |
112575697 |
Plan administrator’s name |
RONALD A. BALKIN, M.D., P.C. |
Plan administrator’s
address |
3003 NEW HYDE PARK ROAD- SUITE 311, NEW HYDE PARK, NY, 11042 |
Administrator’s telephone number |
5163270500 |
Signature of
Role |
Plan administrator |
Date |
2010-08-28 |
Name of individual signing |
RONALD A. BALKIN, M.D. |
|
|