LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2017
|
061554179
|
2018-07-10
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-10 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2016
|
061554179
|
2017-10-11
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-11 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2015
|
061554179
|
2016-10-12
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2014
|
061554179
|
2015-04-01
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2015-04-01 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-01 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2013
|
061554179
|
2014-07-24
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2013
|
061554179
|
2014-07-24
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
24
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-24 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2012
|
061554179
|
2013-09-03
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2013-09-03 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-03 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2011
|
061554179
|
2012-04-04
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061554179 |
Plan administrator’s name |
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC |
Plan administrator’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814321 |
Signature of
Role |
Plan administrator |
Date |
2012-04-04 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-04 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2011
|
061554179
|
2012-04-04
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061554179 |
Plan administrator’s name |
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC |
Plan administrator’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814321 |
Signature of
Role |
Plan administrator |
Date |
2012-04-04 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-04 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LONG WHARF PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2010
|
061554179
|
2011-10-17
|
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037814321
|
Plan sponsor’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
Administrator’s EIN |
061554179 |
Plan administrator’s name |
LONG WHARF PEDIATRICS & ADOLESCENT MEDICINE, LLC |
Plan administrator’s
address |
150 SARGENT DRIVE, SUITE 6, NEW HAVEN, CT, 06511 |
Administrator’s telephone number |
2037814321 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DENNIS DURANTE, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
DENNIS DURANTE, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|