|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2016
|
061472995
|
2017-01-30
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Signature of
| Role |
Plan administrator |
| Date |
2017-01-30 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2015
|
061472995
|
2016-05-26
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Signature of
| Role |
Plan administrator |
| Date |
2016-05-26 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2014
|
061472995
|
2015-07-26
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-26 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2013
|
061472995
|
2014-10-09
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-09 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2012
|
061472995
|
2013-07-17
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Plan administrator’s name and address
| Administrator’s EIN |
061472995 |
| Plan administrator’s name |
CONNECTICUT VALLEY RADIOLOGY, P.C. |
| Plan administrator’s
address |
19 WOODLAND STREET, HARTFORD, CT, 061052372 |
| Administrator’s telephone number |
8605221101 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-17 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2011
|
061472995
|
2012-06-20
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
26
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Plan administrator’s name and address
| Administrator’s EIN |
061472995 |
| Plan administrator’s name |
CONNECTICUT VALLEY RADIOLOGY, P.C. |
| Plan administrator’s
address |
19 WOODLAND STREET, HARTFORD, CT, 061052372 |
| Administrator’s telephone number |
8605221101 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-20 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT VALLEY RADIOLOGY, P.C. 401K PROFIT SHARING PLAN
|
2010
|
061472995
|
2011-07-18
|
CONNECTICUT VALLEY RADIOLOGY, P.C.
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1999-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
8605221101
|
| Plan sponsor’s
address |
19 WOODLAND STREET, SUITE 15, HARTFORD, CT, 061052372
|
Plan administrator’s name and address
| Administrator’s EIN |
061472995 |
| Plan administrator’s name |
CONNECTICUT VALLEY RADIOLOGY, P.C. |
| Plan administrator’s
address |
19 WOODLAND STREET, HARTFORD, CT, 061052372 |
| Administrator’s telephone number |
8605221101 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-18 |
| Name of individual signing |
BRADLEY H. STAEHLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
