|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. PROFIT SHARING PLAN
|
2012
|
061320020
|
2013-10-15
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
8606730223
|
| Plan sponsor’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-15 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. PROFIT SHARING PLAN
|
2011
|
061320020
|
2012-10-11
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
8606730223
|
| Plan sponsor’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085
|
Plan administrator’s name and address
| Administrator’s EIN |
061320020 |
| Plan administrator’s name |
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. |
| Plan administrator’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085 |
| Administrator’s telephone number |
8606730223 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-11 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-10-11 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. PROFIT SHARING PLAN
|
2010
|
061320020
|
2011-05-13
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
8606730223
|
| Plan sponsor’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085
|
Plan administrator’s name and address
| Administrator’s EIN |
061320020 |
| Plan administrator’s name |
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. |
| Plan administrator’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085 |
| Administrator’s telephone number |
8606730223 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-13 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-05-13 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. PROFIT SHARING PLAN
|
2009
|
061320020
|
2010-10-15
|
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
621340
|
| Sponsor’s telephone number |
8606730223
|
| Plan sponsor’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085
|
Plan administrator’s name and address
| Administrator’s EIN |
061320020 |
| Plan administrator’s name |
FARMINGTON VALLEY PHYSICAL THERAPY & SPORTS MEDICINE, P.C. |
| Plan administrator’s
address |
112 SOUTH MAIN STREET, UNIONVILLE, CT, 06085 |
| Administrator’s telephone number |
8606730223 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-15 |
| Name of individual signing |
BOGUSLAWA J. BADON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
