THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2018
|
060884857
|
2019-10-11
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
STEVEN KOLENIK III, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-11 |
Name of individual signing |
STEVEN KOLENIK III, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2017
|
060884857
|
2018-03-28
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2018-03-28 |
Name of individual signing |
STEVEN KOLENIK III, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-28 |
Name of individual signing |
STEVEN KOLENIK III, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2016
|
060884857
|
2017-07-25
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2017-07-25 |
Name of individual signing |
STEVEN KOLENIK III, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-25 |
Name of individual signing |
STEVEN KOLENIK III, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2015
|
060884857
|
2016-10-08
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2016-10-08 |
Name of individual signing |
STEVEN KOLENIK III, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-08 |
Name of individual signing |
STEVEN KOLENIK III, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2014
|
060884857
|
2015-10-12
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2015-10-12 |
Name of individual signing |
STEVEN A. KOLENIK III, MD, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-12 |
Name of individual signing |
STEVEN A. KOLENIK III, MD,PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2013
|
060884857
|
2014-02-12
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2014-02-12 |
Name of individual signing |
STEVEN A. KOLENIK III, MD, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-12 |
Name of individual signing |
STEVEN A. KOLENIK III, MD,PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2012
|
060884857
|
2013-04-01
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2013-04-01 |
Name of individual signing |
STEVEN A. KOLENIK III, MD, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-01 |
Name of individual signing |
STEVEN A. KOLENIK III, MD,PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C. 401(K) RETIREMENT PLAN
|
2011
|
060884857
|
2012-03-29
|
THE CONNECTICUT DERMATOLOGY GROUP, P.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038104151
|
Plan sponsor’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851
|
Plan administrator’s name and address
Administrator’s EIN |
060884857 |
Plan administrator’s name |
THE CONNECTICUT DERMATOLOGY GROUP, P.C. |
Plan administrator’s
address |
761 MAIN AVENUE, SUITE 102, NORWALK, CT, 06851 |
Administrator’s telephone number |
2038104151 |
Signature of
Role |
Plan administrator |
Date |
2012-03-29 |
Name of individual signing |
STEVEN A. KOLENIK III, MD, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-29 |
Name of individual signing |
STEVEN A. KOLENIK III, MD,PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|