BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
060951458
|
2018-05-11
|
BETHEL MEDICAL GROUP, P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2018-05-10 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
060951458
|
2018-04-03
|
BETHEL MEDICAL GROUP, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2018-03-29 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
060951458
|
2017-04-05
|
BETHEL MEDICAL GROUP, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2017-04-05 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
060951458
|
2016-05-02
|
BETHEL MEDICAL GROUP, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2016-05-02 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
060951458
|
2015-03-31
|
BETHEL MEDICAL GROUP, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2015-03-31 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
060951458
|
2014-05-20
|
BETHEL MEDICAL GROUP, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2014-05-20 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
060951458
|
2013-05-15
|
BETHEL MEDICAL GROUP, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Signature of
Role |
Plan administrator |
Date |
2013-05-15 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-15 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
060951458
|
2012-06-28
|
BETHEL MEDICAL GROUP, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Plan administrator’s name and address
Administrator’s EIN |
060951458 |
Plan administrator’s name |
BETHEL MEDICAL GROUP, P.C. |
Plan administrator’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801 |
Administrator’s telephone number |
2037441734 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
060951458
|
2011-06-15
|
BETHEL MEDICAL GROUP, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Plan administrator’s name and address
Administrator’s EIN |
060951458 |
Plan administrator’s name |
BETHEL MEDICAL GROUP, P.C. |
Plan administrator’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801 |
Administrator’s telephone number |
2037441734 |
Signature of
Role |
Plan administrator |
Date |
2011-06-15 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BETHEL MEDICAL GROUP, P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
060951458
|
2010-06-10
|
BETHEL MEDICAL GROUP, P.C.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037441734
|
Plan sponsor’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801
|
Plan administrator’s name and address
Administrator’s EIN |
060951458 |
Plan administrator’s name |
BETHEL MEDICAL GROUP, P.C. |
Plan administrator’s
address |
155 GREENWOOD AVENUE, BETHEL, CT, 06801 |
Administrator’s telephone number |
2037441734 |
Signature of
Role |
Plan administrator |
Date |
2010-06-10 |
Name of individual signing |
DAVID SHAPIRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|