|
EASTERN SUFFOLK CARDIOLOGY, P.C. 401(K) AND PROFIT SHARING PLAN
|
2012
|
112695058
|
2013-06-20
|
EASTERN SUFFOLK CARDIOLOGY, P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6317277773
|
| Plan sponsor’s mailing address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
| Plan sponsor’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
Plan administrator’s name and address
| Administrator’s EIN |
112695058 |
| Plan administrator’s name |
EASTERN SUFFOLK CARDIOLOGY, P.C. |
| Plan administrator’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901 |
| Administrator’s telephone number |
6317277773 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
8 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
8 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-06-20 |
| Name of individual signing |
BABU EASOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASTERN SUFFOLK CARDIOLOGY, P.C. 401(K) AND PROFIT SHARING PLAN
|
2011
|
112695058
|
2012-10-09
|
EASTERN SUFFOLK CARDIOLOGY, P.C.
|
58
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6317277773
|
| Plan sponsor’s mailing address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
| Plan sponsor’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
Plan administrator’s name and address
| Administrator’s EIN |
112695058 |
| Plan administrator’s name |
EASTERN SUFFOLK CARDIOLOGY, P.C. |
| Plan administrator’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901 |
| Administrator’s telephone number |
6317277773 |
Number of participants as of the end of the plan year
| Active participants |
5 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
50 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
53 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
12 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-09 |
| Name of individual signing |
BABU EASOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASTERN SUFFOLK CARDIOLOGY, P.C. 401(K) AND PROFIT SHARING PLAN
|
2010
|
112695058
|
2011-06-20
|
EASTERN SUFFOLK CARDIOLOGY, P.C.
|
51
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6317277773
|
| Plan sponsor’s mailing address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
| Plan sponsor’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
Plan administrator’s name and address
| Administrator’s EIN |
112695058 |
| Plan administrator’s name |
EASTERN SUFFOLK CARDIOLOGY, P.C. |
| Plan administrator’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901 |
| Administrator’s telephone number |
6317277773 |
Number of participants as of the end of the plan year
| Active participants |
58 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
50 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-20 |
| Name of individual signing |
BABU EASOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASTERN SUFFOLK CARDIOLOGY, P.C. 401(K) AND PROFIT SHARING PLAN
|
2009
|
112695058
|
2010-06-15
|
EASTERN SUFFOLK CARDIOLOGY, P.C.
|
45
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1984-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6317277773
|
| Plan sponsor’s mailing address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
| Plan sponsor’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901
|
Plan administrator’s name and address
| Administrator’s EIN |
112695058 |
| Plan administrator’s name |
EASTERN SUFFOLK CARDIOLOGY, P.C. |
| Plan administrator’s
address |
951 ROANOKE AVENUE, RIVERHEAD, NY, 11901 |
| Administrator’s telephone number |
6317277773 |
Number of participants as of the end of the plan year
| Active participants |
51 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
47 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-15 |
| Name of individual signing |
BABU EASOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
