MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
061044837
|
2019-10-30
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-10-30 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
061044837
|
2019-08-29
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
061044837
|
2018-07-16
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
62
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
061044837
|
2019-08-29
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
061044837
|
2019-08-29
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
061044837
|
2017-06-15
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
68
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-15 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P. C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
061044837
|
2019-08-29
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
62
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750142
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-29 |
Name of individual signing |
ERAN SHANI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
061044837
|
2015-09-22
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750151
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
DAVID GALLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
061044837
|
2016-06-15
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750151
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
DAVID GALLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-15 |
Name of individual signing |
DAVID GALLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
061044837
|
2014-09-26
|
MIDDLESEX CARDIOLOGY ASSOCIATES, P.C.
|
68
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2002-12-06
|
Business code |
621111
|
Sponsor’s telephone number |
8609750151
|
Plan sponsor’s
address |
420 SAYBROOK ROAD, SUITE A, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2014-09-26 |
Name of individual signing |
SPRIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-26 |
Name of individual signing |
SPRIMMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|