PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING
|
2014
|
061386448
|
2015-10-09
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
PATRICK P. MASTROIANNI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2014
|
061386448
|
2015-10-09
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
PATRICK P. MASTROIANNI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2013
|
061386448
|
2014-09-18
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Signature of
Role |
Plan administrator |
Date |
2014-09-18 |
Name of individual signing |
PATRICK P. MASTROIANNI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2012
|
061386448
|
2013-10-08
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
PATRICK P. MASTROIANNI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2011
|
061386448
|
2012-05-17
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Plan administrator’s name and address
Administrator’s EIN |
061386448 |
Plan administrator’s name |
PATRICK P. MASTROIANNI, M.D., P.C. |
Plan administrator’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606 |
Administrator’s telephone number |
2033363303 |
Signature of
Role |
Plan administrator |
Date |
2012-05-17 |
Name of individual signing |
PATRICK P. MASTROIANNI MD PC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-17 |
Name of individual signing |
PATRICK P. MASTROIANNI MD PC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2010
|
061386448
|
2011-09-29
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Plan administrator’s name and address
Administrator’s EIN |
061386448 |
Plan administrator’s name |
PATRICK P. MASTROIANNI, M.D., P.C. |
Plan administrator’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606 |
Administrator’s telephone number |
2033363303 |
Signature of
Role |
Plan administrator |
Date |
2011-09-29 |
Name of individual signing |
PATRICK P. MASTROIANNI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-29 |
Name of individual signing |
PATRICK P. MASTROIANNI, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRICK P. MASTROIANNI, M.D., P.C. PROFIT SHARING PLAN
|
2009
|
061386448
|
2010-10-06
|
PATRICK P. MASTROIANNI, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Plan administrator’s name and address
Administrator’s EIN |
061386448 |
Plan administrator’s name |
PATRICK P. MASTROIANNI, M.D., P.C. |
Plan administrator’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606 |
Administrator’s telephone number |
2033363303 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
PATRICK P. MASTROIANNI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|