|
RICHARD N. GOLDBERG, M.D., P.C. PROFIT SHARING PLAN
|
2011
|
061092170
|
2013-01-30
|
RICHARD N. GOLDBERG, M.D., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608270009
|
| Plan sponsor’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037
|
Plan administrator’s name and address
| Administrator’s EIN |
061092170 |
| Plan administrator’s name |
RICHARD N. GOLDBERG, M.D., P.C. |
| Plan administrator’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037 |
| Administrator’s telephone number |
8608270009 |
Signature of
| Role |
Plan administrator |
| Date |
2013-01-30 |
| Name of individual signing |
RICHARD N. GOLDBERG, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RICHARD N. GOLDBERG, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
061092170
|
2012-03-30
|
RICHARD N. GOLDBERG, M.D., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608270009
|
| Plan sponsor’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037
|
Plan administrator’s name and address
| Administrator’s EIN |
061092170 |
| Plan administrator’s name |
RICHARD N. GOLDBERG, M.D., P.C. |
| Plan administrator’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037 |
| Administrator’s telephone number |
8608270009 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-30 |
| Name of individual signing |
RICHARD N. GOLDBERG, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RICHARD N. GOLDBERG, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
061092170
|
2011-01-11
|
RICHARD N. GOLDBERG, M.D., P.C.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1987-07-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608270009
|
| Plan sponsor’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037
|
Plan administrator’s name and address
| Administrator’s EIN |
061092170 |
| Plan administrator’s name |
RICHARD N. GOLDBERG, M.D., P.C. |
| Plan administrator’s
address |
211 NEW BRITAIN ROAD, TOWNE PLACE, SUITE 206, KENSINGTON, CT, 06037 |
| Administrator’s telephone number |
8608270009 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-11 |
| Name of individual signing |
RICHARD N. GOLDBERG, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
