|
EDWARD H. BENJAMIN, M.D., P.C. 401(K) PLAN AND TRUST
|
2013
|
061044668
|
2014-04-02
|
EDWARD H. BENJAMIN,M.D.,P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037412531
|
| Plan sponsor’s
address |
115 ELM STREET, ENFIELD, CT, 06082
|
Signature of
| Role |
Plan administrator |
| Date |
2014-04-02 |
| Name of individual signing |
EDWARD H. BENJAMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDWARD H. BENJAMIN, M.D., P.C. 401(K) PLAN AND TRUST
|
2012
|
061044668
|
2013-11-19
|
EDWARD H. BENJAMIN,M.D.,P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037412531
|
| Plan sponsor’s
address |
115 ELM STREET, ENFIELD, CT, 06082
|
Signature of
| Role |
Plan administrator |
| Date |
2013-11-19 |
| Name of individual signing |
EDWARD H. BENJAMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDWARD H. BENJAMIN, M.D., P.C. 401(K) PLAN AND TRUST
|
2011
|
061044668
|
2012-12-03
|
EDWARD H. BENJAMIN,M.D.,P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037412531
|
| Plan sponsor’s
address |
115 ELM STREET, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061044668 |
| Plan administrator’s name |
EDWARD H. BENJAMIN,M.D.,P.C. |
| Plan administrator’s
address |
115 ELM STREET, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
2037412531 |
Signature of
| Role |
Plan administrator |
| Date |
2012-12-03 |
| Name of individual signing |
EDWARD H. BENJAMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDWARD H. BENJAMIN, M.D., P.C. 401(K) PLAN AND TRUST
|
2010
|
061044668
|
2012-04-09
|
EDWARD H. BENJAMIN, M.D.,P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037412531
|
| Plan sponsor’s
address |
115 ELM STREET, SUITE 205, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061044668 |
| Plan administrator’s name |
EDWARD H. BENJAMIN, M.D.,P.C. |
| Plan administrator’s
address |
115 ELM STREET, SUITE 205, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
2037412531 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-09 |
| Name of individual signing |
EDWARD H. BENJAMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EDWARD H. BENJAMIN, M.D., P.C. 401(K) PLAN AND TRUST
|
2009
|
061044668
|
2011-03-28
|
EDWARD H. BENJAMIN, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037412531
|
| Plan sponsor’s
address |
115 ELM STREET, SUITE 205, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061044668 |
| Plan administrator’s name |
EDWARD H. BENJAMIN, M.D., P.C. |
| Plan administrator’s
address |
115 ELM STREET, SUITE 205, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
2037412531 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-28 |
| Name of individual signing |
EDWARD H. BENJAMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
