ASSOCIATED UROLOGISTS, P. C. 401(K) PROFIT
|
2015
|
060865009
|
2016-12-01
|
ASSOCIATED UROLOGISTS, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
360 TOLLAND TURNPIKE, SUITE 3B, MANCHESTER, CT, 06042
|
Signature of
Role |
Plan administrator |
Date |
2016-12-01 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
060865009
|
2016-07-18
|
ASSOCIATED UROLOGISTS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
360 TOLLAND TURNPIKE, SUITE 3B, MANCHESTER, CT, 06042
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-18 |
Name of individual signing |
ARTHUR E LAMONTAGNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
060865009
|
2015-04-01
|
ASSOCIATED UROLOGISTS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
360 TOLLAND TURNPIKE, SUITE 3B, MANCHESTER, CT, 06042
|
Signature of
Role |
Plan administrator |
Date |
2015-04-01 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
060865009
|
2014-05-23
|
ASSOCIATED UROLOGISTS, P.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
360 TOLLAND TURNPIKE, SUITE 3B, MANCHESTER, CT, 06042
|
Signature of
Role |
Plan administrator |
Date |
2014-05-23 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
060865009
|
2013-04-25
|
ASSOCIATED UROLOGISTS, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
360 TOLLAND TURNPIKE, SUITE 3B, MANCHESTER, CT, 06042
|
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
060865009
|
2012-06-06
|
ASSOCIATED UROLOGISTS, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040
|
Plan administrator’s name and address
Administrator’s EIN |
060865009 |
Plan administrator’s name |
ASSOCIATED UROLOGISTS, P.C. |
Plan administrator’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040 |
Administrator’s telephone number |
8606432731 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-06 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
060865009
|
2011-07-01
|
ASSOCIATED UROLOGISTS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040
|
Plan administrator’s name and address
Administrator’s EIN |
060865009 |
Plan administrator’s name |
ASSOCIATED UROLOGISTS, P.C. |
Plan administrator’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040 |
Administrator’s telephone number |
8606432731 |
Signature of
Role |
Plan administrator |
Date |
2011-07-01 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSOCIATED UROLOGISTS, P.C. 401(K) PROFIT SHARING PLAN
|
2009
|
060865009
|
2010-07-19
|
ASSOCIATED UROLOGISTS, P.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1976-09-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606432731
|
Plan sponsor’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040
|
Plan administrator’s name and address
Administrator’s EIN |
060865009 |
Plan administrator’s name |
ASSOCIATED UROLOGISTS, P.C. |
Plan administrator’s
address |
116 EAST CENTER STREET, MANCHESTER, CT, 06040 |
Administrator’s telephone number |
8606432731 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
ARTHUR E. LAMONTAGNE, JR., M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|