FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2014
|
061397972
|
2015-02-09
|
FREDERICK A. KAYAL M.D.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Signature of
Role |
Plan administrator |
Date |
2015-02-09 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-02-09 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2013
|
061397972
|
2014-08-27
|
FREDERICK A. KAYAL M.D.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Signature of
Role |
Plan administrator |
Date |
2014-08-26 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-26 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2012
|
061397972
|
2013-09-25
|
FREDERICK A. KAYAL M.D.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2011
|
061397972
|
2012-10-10
|
FREDERICK A. KAYAL M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
061397972 |
Plan administrator’s name |
FREDERICK A. KAYAL M.D. |
Plan administrator’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037750010 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2010
|
061397972
|
2011-09-27
|
FREDERICK A. KAYAL M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s mailing address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
061397972 |
Plan administrator’s name |
FREDERICK A. KAYAL M.D. |
Plan administrator’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037750010 |
Number of participants as of the end of the plan year
Active participants |
8 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Signature of
Role |
Plan administrator |
Date |
2011-09-27 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-27 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREDERICK A. KAYAL, M.D. PROFIT SHARING PLAN
|
2009
|
061397972
|
2010-10-05
|
FREDERICK A. KAYAL M.D.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
2037750010
|
Plan sponsor’s mailing address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
061397972 |
Plan administrator’s name |
FREDERICK A. KAYAL M.D. |
Plan administrator’s
address |
300 FEDERAL ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037750010 |
Number of participants as of the end of the plan year
Active participants |
8 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
FREDERICK KAYAL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|