|
CHARLES G. HEMENWAY, JR., M.D., P.C. PENSION PLAN
|
2010
|
061350670
|
2011-02-03
|
CHARLES G. HEMENWAY, JR., M.D., P.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2032569249
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668
|
Plan administrator’s name and address
| Administrator’s EIN |
061350670 |
| Plan administrator’s name |
CHARLES G. HEMENWAY, JR., M.D., P.C. |
| Plan administrator’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668 |
| Administrator’s telephone number |
2032569249 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-02 |
| Name of individual signing |
CHARLES HEMENWAY JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHARLES G. HEMENWAY, JR., M.D., P.C. PENSION PLAN
|
2009
|
061350670
|
2010-10-13
|
CHARLES G. HEMENWAY, JR., M.D., P.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2032569249
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668
|
Plan administrator’s name and address
| Administrator’s EIN |
061350670 |
| Plan administrator’s name |
CHARLES G. HEMENWAY, JR., M.D., P.C. |
| Plan administrator’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668 |
| Administrator’s telephone number |
2032569249 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-12 |
| Name of individual signing |
CHARLES HEMENWAY JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHARLES G. HEMENWAY, JR., M.D., P.C. PENSION PLAN
|
2009
|
061350670
|
2010-10-12
|
CHARLES G. HEMENWAY, JR., M.D., P.C.
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2032569249
|
| Plan sponsor’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668
|
Plan administrator’s name and address
| Administrator’s EIN |
061350670 |
| Plan administrator’s name |
CHARLES G. HEMENWAY, JR., M.D., P.C. |
| Plan administrator’s
address |
111 BEACH ROAD, FAIRFIELD, CT, 068246668 |
| Administrator’s telephone number |
2032569249 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-10 |
| Name of individual signing |
CHARLES HEMENWAY JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
