CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2020
|
133250529
|
2021-03-09
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
121 WEST 27TH STREET, SUITE 206, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2021-03-09 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2019
|
133250529
|
2020-03-16
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
121 WEST 27TH STREET, SUITE 206, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2020-03-16 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2018
|
133250529
|
2019-04-15
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
121 WEST 27TH STREET, SUITE 206, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2019-04-15 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2017
|
133250529
|
2018-05-04
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
121 WEST 27TH STREET, SUITE 206, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2018-05-04 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2016
|
133250529
|
2017-06-09
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
121 WEST 27TH STREET, SUITE 206, NEW YORK, NY, 10001
|
Signature of
Role |
Plan administrator |
Date |
2017-06-09 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2015
|
133250529
|
2016-06-08
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280
|
Signature of
Role |
Plan administrator |
Date |
2016-06-08 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2014
|
133250529
|
2015-06-26
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280
|
Plan administrator’s name and address
Administrator’s EIN |
133250529 |
Plan administrator’s name |
CHELSEA CHIROPRACTIC, P.C. |
Plan administrator’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280 |
Administrator’s telephone number |
2127419660 |
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2013
|
133250529
|
2014-06-06
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280
|
Plan administrator’s name and address
Administrator’s EIN |
133250529 |
Plan administrator’s name |
CHELSEA CHIROPRACTIC, P.C. |
Plan administrator’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280 |
Administrator’s telephone number |
2127419660 |
Signature of
Role |
Plan administrator |
Date |
2014-06-06 |
Name of individual signing |
MARK FORNES |
|
|
CHELSEA CHIROPRACTIC, P.C. RETIREMENT PLAN
|
2012
|
133250529
|
2013-07-01
|
CHELSEA CHIROPRACTIC, P.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
2127419660
|
Plan sponsor’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280
|
Plan administrator’s name and address
Administrator’s EIN |
133250529 |
Plan administrator’s name |
CHELSEA CHIROPRACTIC, P.C. |
Plan administrator’s
address |
125 WEST 16TH STREET, NEW YORK, NY, 100116280 |
Administrator’s telephone number |
2127419660 |
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
MARK FORNES |
|
|