COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2023
|
061539549
|
2024-07-18
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-17 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2022
|
061539549
|
2023-07-25
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-25 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-25 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2021
|
061539549
|
2022-07-25
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-15 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2020
|
061539549
|
2021-07-27
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-27 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2019
|
061539549
|
2020-07-22
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-22 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-22 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2018
|
061539549
|
2019-07-16
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Plan sponsor’s
address |
95 WOODLAND ST, HARTFORD, CT, 061051230
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLLINS MEDICAL ASSOCIATES 2, PC WELFARE BENEFIT PLAN 1
|
2011
|
061539549
|
2012-07-27
|
COLLINS MEDICAL ASSOCIATES 2, P.C.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
8607146889
|
Plan sponsor’s mailing address |
95 WOODLAND STREET, HARTFORD, CT, 06105
|
Plan sponsor’s
address |
95 WOODLAND STREET, HARTFORD, CT, 06105
|
Plan administrator’s name and address
Administrator’s EIN |
061539549 |
Plan administrator’s name |
COLLINS MEDICAL ASSOCIATES 2, P.C. |
Plan administrator’s
address |
95 WOODLAND STREET, HARTFORD, CT, 06105 |
Administrator’s telephone number |
8607146889 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
SUSAN LINK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|