|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY MEDIATION
|
2012
|
061039800
|
2013-10-24
|
COMMUNITY MEDIATION, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-08-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
2037823500
|
| Plan sponsor’s
address |
3013 DIXWELL AVENUE, HAMDEN, CT, 06518
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-24 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-24 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY MEDIATION, INC.
|
2012
|
061039800
|
2013-07-03
|
COMMUNITY MEDIATION, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-08-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
2037823500
|
| Plan sponsor’s
address |
3013 DIXWELL AVENUE, SUITE 3, HAMDEN, CT, 06518
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-03 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-03 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY MEDIATION, INC.
|
2011
|
061039800
|
2013-07-03
|
COMMUNITY MEDIATION, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-08-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
2037823500
|
| Plan sponsor’s
address |
3013 DIXWELL AVENUE, SUITE 3, HAMDEN, CT, 06518
|
Plan administrator’s name and address
| Administrator’s EIN |
061039800 |
| Plan administrator’s name |
COMMUNITY MEDIATION, INC. |
| Plan administrator’s
address |
3013 DIXWELL AVENUE, SUITE 3, HAMDEN, CT, 06518 |
| Administrator’s telephone number |
2037823500 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-03 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-03 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY MEDIATION, INC.
|
2010
|
061038800
|
2011-07-19
|
COMMUNITY MEDIATION, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-08-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
2037823500
|
| Plan sponsor’s
address |
32 ELM STREET, NEW HAVEN, CT, 06510
|
Plan administrator’s name and address
| Administrator’s EIN |
061038800 |
| Plan administrator’s name |
COMMUNITY MEDIATION, INC. |
| Plan administrator’s
address |
32 ELM STREET, NEW HAVEN, CT, 06510 |
| Administrator’s telephone number |
2037823500 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY MEDIATION, INC.
|
2009
|
061039800
|
2010-09-30
|
COMMUNITY MEDIATION, INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-08-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
2037823500
|
| Plan sponsor’s
address |
32 ELM ST, NEW HAVEN, CT, 06510
|
Plan administrator’s name and address
| Administrator’s EIN |
061039800 |
| Plan administrator’s name |
COMMUNITY MEDIATION, INC. |
| Plan administrator’s
address |
32 ELM ST, NEW HAVEN, CT, 06510 |
| Administrator’s telephone number |
2037823500 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-30 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-30 |
| Name of individual signing |
SAMUEL BRUMMER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
