|
DERMATOLOGY ASSOCIATES OF SE CT, PC 401(K) PROFIT SHARING PLAN
|
2012
|
061531605
|
2013-06-07
|
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8604421346
|
| Plan sponsor’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-06 |
| Name of individual signing |
MARY ANN BENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-06-06 |
| Name of individual signing |
MARY ANN BENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY ASSOCIATES OF SE CT, PC 401(K) PROFIT SHARING PLAN
|
2011
|
061531605
|
2012-10-05
|
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8604421346
|
| Plan sponsor’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
| Administrator’s EIN |
061531605 |
| Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Plan administrator’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320 |
| Administrator’s telephone number |
8604421346 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-05 |
| Name of individual signing |
MARY ANN BENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY ASSOCIATES OF SE CT, PC 401(K) PROFIT SHARING PLAN
|
2010
|
061531605
|
2011-10-03
|
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8604421346
|
| Plan sponsor’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
| Administrator’s EIN |
061531605 |
| Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Plan administrator’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320 |
| Administrator’s telephone number |
8604421346 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-03 |
| Name of individual signing |
MARY ANN BENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERMATOLOGY ASSOCIATES OF SE CT, PC 401(K) PROFIT SHARING PLAN
|
2009
|
061531605
|
2010-10-13
|
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1985-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8604421346
|
| Plan sponsor’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320
|
Plan administrator’s name and address
| Administrator’s EIN |
061531605 |
| Plan administrator’s name |
DERMATOLOGY ASSOCIATES OF SOUTHEASTERN CONNECTICUT, P.C. |
| Plan administrator’s
address |
425 MONTAUK AVENUE, NEW LONDON, CT, 06320 |
| Administrator’s telephone number |
8604421346 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
JOHN WILES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
