|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. 401(K) PROFIT SHA
|
2013
|
061014330
|
2014-06-05
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034213600
|
| Plan sponsor’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-04 |
| Name of individual signing |
EDWARD GLEICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
061014330
|
2014-06-05
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034213600
|
| Plan sponsor’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-04 |
| Name of individual signing |
EDWARD GLEICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. 401(K) PROFIT SHARING PLAN
|
2012
|
061014330
|
2013-09-10
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034213600
|
| Plan sponsor’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-10 |
| Name of individual signing |
EDWARD GLEICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. 401(K) PROFIT SHARING PLAN
|
2011
|
061014330
|
2012-10-25
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034213600
|
| Plan sponsor’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443
|
Plan administrator’s name and address
| Administrator’s EIN |
061014330 |
| Plan administrator’s name |
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. |
| Plan administrator’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443 |
| Administrator’s telephone number |
2034213600 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-24 |
| Name of individual signing |
EDWARD GLEICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. 401(K) PROFIT SHARING PLAN
|
2010
|
061014330
|
2011-10-24
|
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034213600
|
| Plan sponsor’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443
|
Plan administrator’s name and address
| Administrator’s EIN |
061014330 |
| Plan administrator’s name |
SHORELINE PEDIATRICS & ADOLESCENT MEDICINE, P.C. |
| Plan administrator’s
address |
1110 DURHAM ROAD, MADISON, CT, 06443 |
| Administrator’s telephone number |
2034213600 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-21 |
| Name of individual signing |
EDWARD GLEICH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
