MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2023
|
161203772
|
2024-10-03
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2024-10-03 |
Name of individual signing |
DAVID CAMPLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-03 |
Name of individual signing |
DAVID CAMPLING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2022
|
161203772
|
2023-10-12
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
DAVID CAMPLING |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
DAVID CAMPLING |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2021
|
161203772
|
2022-10-11
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
DAVID CAMPLING |
|
Role |
Employer/plan sponsor |
Date |
2022-10-11 |
Name of individual signing |
DAVID CAMPLING |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2020
|
161203772
|
2021-10-04
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
PHILIP LESZAK |
|
Role |
Employer/plan sponsor |
Date |
2021-10-04 |
Name of individual signing |
PHILIP LESZAK |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2019
|
161203772
|
2020-10-14
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
PHILIP LESZAK |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
PHILIP LESZAK |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2018
|
161203772
|
2019-10-15
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
PHILIP LESZAK |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
PHILIP LESZAK |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. PROFIT SHARING PLAN
|
2017
|
161203772
|
2018-10-10
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA RD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2018-10-10 |
Name of individual signing |
PHILIP LESZAK |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN
|
2016
|
161203772
|
2017-06-28
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 142210000
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
MONT STERN, MD |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
MONT STERN, MD |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN
|
2015
|
161203772
|
2016-10-13
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 142210000
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
MONT STERN, MD |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
MONT STERN, MD |
|
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C. DEFERRED PROFIT SHARING PLAN
|
2014
|
161203772
|
2015-10-09
|
MAPLE-GATE ANESTHESIOLOGISTS, P.C.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1983-07-25
|
Business code |
621111
|
Sponsor’s telephone number |
7166321088
|
Plan sponsor’s
address |
30 S. CAYUGA ROAD, WILLIAMSVILLE, NY, 14221
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
MONT STERN, MD |
|
Role |
Employer/plan sponsor |
Date |
2015-10-09 |
Name of individual signing |
MONT STERN, MD |
|
|