CONNECTICUT NEUROSCIENCE, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2015
|
060857516
|
2016-06-23
|
CONNECTICUT NEUROSCIENCE, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
P.O. BOX 187169, HAMDEN, CT, 06518
|
Signature of
Role |
Plan administrator |
Date |
2016-06-22 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-22 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSCIENCE, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2015
|
060857516
|
2016-02-26
|
CONNECTICUT NEUROSCIENCE, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
230 GEORGE STREET, 5TH FLOOR, NEW HAVEN, CT, 06510
|
Signature of
Role |
Plan administrator |
Date |
2016-02-26 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-26 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSCIENCE, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2014
|
060857516
|
2015-09-25
|
CONNECTICUT NEUROSCIENCE, P.C.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
230 GEORGE STREET, 5TH FLOOR, NEW HAVEN, CT, 06510
|
Signature of
Role |
Plan administrator |
Date |
2015-09-25 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-25 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSCIENCE, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2013
|
060857516
|
2014-11-06
|
CONNECTICUT NEUROSCIENCE, P.C.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
230 GEORGE STREET, 5TH FLOOR, NEW HAVEN, CT, 06510
|
Signature of
Role |
Plan administrator |
Date |
2014-11-06 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-11-06 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSCIENCE, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2013
|
060857516
|
2014-10-15
|
CONNECTICUT NEUROSCIENCE, P.C.
|
32
|
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
230 GEORGE STREET, 5TH FLOOR, NEW HAVEN, CT, 06510
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
JUDITH GORELICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSURGERY, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2012
|
060857516
|
2013-10-04
|
CONNECTICUT NEUROSURGERY, P.C.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
230 GEORGE STREET, 5TH FLOOR, NEW HAVEN, CT, 06510
|
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSURGERY, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2011
|
060857516
|
2012-10-03
|
CONNECTICUT NEUROSURGERY, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
060857516 |
Plan administrator’s name |
CONNECTICUT NEUROSURGERY, P.C. |
Plan administrator’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037813400 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-03 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSURGERY, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2010
|
060857516
|
2011-10-04
|
CONNECTICUT NEUROSURGERY, P.C.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
060857516 |
Plan administrator’s name |
CONNECTICUT NEUROSURGERY, P.C. |
Plan administrator’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037813400 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT NEUROSURGERY, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2010
|
060857516
|
2011-10-04
|
CONNECTICUT NEUROSURGERY, P.C.
|
36
|
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
060857516 |
Plan administrator’s name |
CONNECTICUT NEUROSURGERY, P.C. |
Plan administrator’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037813400 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CONNECTICUT NEUROSURGERY, P.C. SECTION 401(K) PROFIT SHARING PLAN
|
2009
|
060857516
|
2010-09-16
|
CONNECTICUT NEUROSURGERY, P.C.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
010
|
Effective date of plan |
1982-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
2037813400
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
060857516 |
Plan administrator’s name |
CONNECTICUT NEUROSURGERY, P.C. |
Plan administrator’s
address |
330 ORCHARD STREET, SUITE 316, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037813400 |
Signature of
Role |
Plan administrator |
Date |
2010-09-16 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-16 |
Name of individual signing |
JOHANNA HARTIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|