MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2014
|
060646593
|
2015-04-02
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-04-02 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-02 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2014
|
060646593
|
2015-03-23
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
137
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-03-23 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-23 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2013
|
060646593
|
2014-05-27
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2012
|
060646593
|
2014-05-08
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2012
|
060646593
|
2014-05-08
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
86
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2012-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2011
|
060646593
|
2014-05-08
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan administrator’s name and address
Administrator’s EIN |
060646593 |
Plan administrator’s name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC. |
Plan administrator’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107 |
Administrator’s telephone number |
8605291970 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-08 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2011
|
060646593
|
2012-03-05
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
131
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
624200
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan administrator’s name and address
Administrator’s EIN |
060646593 |
Plan administrator’s name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC. |
Plan administrator’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-03-05 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2011
|
060646593
|
2012-03-05
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
131
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
624200
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan administrator’s name and address
Administrator’s EIN |
060646593 |
Plan administrator’s name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC. |
Plan administrator’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-03-05 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2011
|
060646593
|
2012-03-05
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
131
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-01-01
|
Business code |
624200
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan sponsor’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107
|
Plan administrator’s name and address
Administrator’s EIN |
060646593 |
Plan administrator’s name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC. |
Plan administrator’s
address |
61 SOUTH MAIN STREET, SUITE #100, WEST HARTFORD, CT, 06107 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-03-05 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
2010
|
060646593
|
2011-10-19
|
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
999
|
Effective date of plan |
2010-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8605291970
|
Plan
sponsor’s DBA name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC.
|
Plan sponsor’s mailing address |
20-30 BEAVER ROAD, SUITE #108, WETHERSFIELD, CT, 06109
|
Plan sponsor’s
address |
20-30 BEAVER ROAD, SUITE #108, WETHERSFIELD, CT, 06109
|
Plan administrator’s name and address
Administrator’s EIN |
060646593 |
Plan administrator’s name |
MENTAL HEALTH ASSOCIATION OF CONNECTICUT, INC. |
Plan administrator’s
address |
20-30 BEAVER ROAD, SUITE #108, WETHERSFIELD, CT, 06109 |
Administrator’s telephone number |
8605291970 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-19 |
Name of individual signing |
ROBERT MERCADO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|