THE MILFORD HOSPITAL EMPLOYEES' INSURANCE PLAN
|
2015
|
060646741
|
2016-10-07
|
MILFORD HOSPITAL
|
490
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2038764098
|
Plan sponsor’s mailing address |
300 SEASIDE AVE, MILFORD, CT, 064604603
|
Plan sponsor’s
address |
300 SEASIDE AVE, MILFORD, CT, 064604603
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
JEFFREY KOMORNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MILFORD HOSPITAL SENIOR EXECUTIVE RETIREMENT PLAN
|
2012
|
060646741
|
2016-02-02
|
MILFORD HOSPITAL
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
888
|
Effective date of plan |
2011-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
2038764095
|
Plan sponsor’s mailing address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan sponsor’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-02-02 |
Name of individual signing |
DAVID ZEID |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-02 |
Name of individual signing |
DAVID ZEID |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE MILFORD HOSPITAL EMPLOYEES' INSURANCE PLAN
|
2012
|
060646741
|
2013-10-15
|
MILFORD HOSPITAL
|
515
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2038764098
|
Plan sponsor’s mailing address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan sponsor’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan administrator’s name and address
Administrator’s EIN |
060646741 |
Plan administrator’s name |
MILFORD HOSPITAL |
Plan administrator’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460 |
Administrator’s telephone number |
2038764098 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
JEFFREY KOMORNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
JEFFREY KOMORNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE MILFORD HOSPITAL EMPLOYEES INSURANCE PLAN
|
2010
|
060646741
|
2011-10-25
|
MILFORD HOSPITAL
|
543
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2038764098
|
Plan sponsor’s mailing address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan sponsor’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan administrator’s name and address
Administrator’s EIN |
060646741 |
Plan administrator’s name |
MILFORD HOSPITAL |
Plan administrator’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460 |
Administrator’s telephone number |
2038764098 |
Number of participants as of the end of the plan year
Active participants |
543 |
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 |
Signature of
Role |
Plan administrator |
Date |
2011-10-25 |
Name of individual signing |
JEFFREY KOMORNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE MILFORD HOSPITAL EMPLOYEES INSURANCE PLAN
|
2009
|
060646741
|
2010-10-13
|
MILFORD HOSPITAL
|
565
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1994-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2038764098
|
Plan sponsor’s mailing address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan sponsor’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460
|
Plan administrator’s name and address
Administrator’s EIN |
060646741 |
Plan administrator’s name |
MILFORD HOSPITAL |
Plan administrator’s
address |
300 SEASIDE AVENUE, MILFORD, CT, 06460 |
Administrator’s telephone number |
2038764098 |
Number of participants as of the end of the plan year
Active participants |
565 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
JEFFREY KOMORNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|