ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN
|
2015
|
061450170
|
2017-07-17
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
WENDY WIGGLESWORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
WENDY WIGGLESWORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
|
2015
|
061450170
|
2017-07-17
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
WENDY WIGGLESWORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
WENDY WIGGLESWORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN
|
2014
|
061450170
|
2016-07-08
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-08 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
|
2014
|
061450170
|
2016-07-08
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2016-07-08 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-08 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN
|
2013
|
061450170
|
2015-07-14
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
|
2013
|
061450170
|
2015-07-14
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607146523
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
|
2012
|
061450170
|
2014-04-29
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607144129
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Plan administrator’s name and address
Administrator’s EIN |
141906528 |
Plan administrator’s name |
JAMES M HAFFORD |
Administrator’s telephone number |
8607146523 |
Signature of
Role |
Plan administrator |
Date |
2014-04-29 |
Name of individual signing |
JAMES HAFFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-29 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX-DEFERRED ANNUITY PLAN
|
2012
|
061450170
|
2014-04-29
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607144129
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Plan administrator’s name and address
Administrator’s EIN |
141906528 |
Plan administrator’s name |
JAMES M HAFFORD |
Administrator’s telephone number |
8607146523 |
Signature of
Role |
Plan administrator |
Date |
2014-04-29 |
Name of individual signing |
JAMES HAFFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-29 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. TAX DEFERRED ANNUITY PLAN
|
2011
|
061450170
|
2013-07-15
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607144129
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Plan administrator’s name and address
Administrator’s EIN |
141906528 |
Plan administrator’s name |
JAMES M HAFFORD |
Plan administrator’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105 |
Administrator’s telephone number |
8607146523 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
JAMES HAFFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC. DEFINED CONTRIBUTION RETIREMENT PLAN
|
2011
|
061450170
|
2013-07-15
|
ASYLUM HILL FAMILY MEDICINE CENTER, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-10-01
|
Business code |
611000
|
Sponsor’s telephone number |
8607144129
|
Plan sponsor’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105
|
Plan administrator’s name and address
Administrator’s EIN |
141906528 |
Plan administrator’s name |
JAMES M HAFFORD |
Plan administrator’s
address |
99 WOODLAND ST, HARTFORD, CT, 06105 |
Administrator’s telephone number |
8607146523 |
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
JAMES HAFFORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
ROBERT CUSHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|