JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2013
|
061064066
|
2014-11-19
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8605729142
|
Plan sponsor’s
address |
525 NORTH STONINGTON ROAD, STONINGTON, CT, 06378
|
Signature of
Role |
Plan administrator |
Date |
2014-11-19 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-11-19 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2013
|
061064066
|
2014-03-31
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604427391
|
Plan sponsor’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320
|
Signature of
Role |
Plan administrator |
Date |
2014-03-31 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-31 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
061064066
|
2013-05-16
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604427391
|
Plan sponsor’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320
|
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
061064066
|
2012-03-19
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604427391
|
Plan sponsor’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
Administrator’s EIN |
061064066 |
Plan administrator’s name |
JAMES KELLY, M.D., P.C. |
Plan administrator’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320 |
Administrator’s telephone number |
8604427391 |
Signature of
Role |
Plan administrator |
Date |
2012-03-18 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
061064066
|
2011-03-14
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604427391
|
Plan sponsor’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
Administrator’s EIN |
061064066 |
Plan administrator’s name |
JAMES KELLY, M.D., P.C. |
Plan administrator’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320 |
Administrator’s telephone number |
8604427391 |
Signature of
Role |
Plan administrator |
Date |
2011-03-13 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JAMES KELLY, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2009
|
061064066
|
2010-07-22
|
JAMES KELLY, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1982-07-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604427391
|
Plan sponsor’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
Administrator’s EIN |
061064066 |
Plan administrator’s name |
JAMES KELLY, M.D., P.C. |
Plan administrator’s
address |
59 FAIRE HARBOUR PLACE, NEW LONDON, CT, 06320 |
Administrator’s telephone number |
8604427391 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
CORINNE KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|