SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2012
|
060772457
|
2013-03-07
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-07 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2011
|
060772457
|
2012-06-13
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-13 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2010
|
060772457
|
2011-09-28
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-09-28 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2009
|
060772457
|
2010-10-28
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-28 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2009
|
060772457
|
2010-10-29
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-28 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2009
|
060772457
|
2010-10-29
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-28 |
Name of individual signing |
AKELLA SARMA, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
SURGICAL ASSOCIATES, INC. PROFIT SHARING PLAN
|
2009
|
060772457
|
2010-09-23
|
SURGICAL ASSOCIATES, INC.
|
6
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1990-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602259431
|
Plan sponsor’s mailing address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan sponsor’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050
|
Plan administrator’s name and address
Administrator’s EIN |
060772457 |
Plan administrator’s name |
SURGICAL ASSOCIATES, INC. |
Plan administrator’s
address |
40 HART STREET, NEW BRITAIN, CT, 06050 |
Administrator’s telephone number |
8602259431 |
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
|