|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
061132121
|
2015-10-01
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-01 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-10-01 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
061132121
|
2014-10-14
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-14 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-10-14 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
061132121
|
2013-10-08
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
2
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-08 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-08 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
061132121
|
2013-10-08
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-08 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-08 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
061132121
|
2012-09-18
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
061132121 |
| Plan administrator’s name |
PSYCHIATRIC WELLNESS CENTER, LLC. |
| Plan administrator’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606289121 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-17 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-17 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PSYCHIATRIC WELLNESS CENTER, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
061132121
|
2011-10-13
|
PSYCHIATRIC WELLNESS CENTER, LLC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
8606289121
|
| Plan sponsor’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
061132121 |
| Plan administrator’s name |
PSYCHIATRIC WELLNESS CENTER, LLC. |
| Plan administrator’s
address |
51 N. MAIN STREET, SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606289121 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-13 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-13 |
| Name of individual signing |
AILEEN FELDMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
