WILFRED BROWN, MD. PC 401(K) PLAN
|
2023
|
061555036
|
2024-05-11
|
WILFRED BROWN, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2024-05-11 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-11 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2022
|
061555036
|
2023-05-02
|
WILFRED BROWN, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
1579 STRAITS TURNPIKE, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2023-05-02 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-02 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2021
|
061555036
|
2022-05-05
|
WILFRED BROWN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2022-05-05 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-05 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2020
|
061555036
|
2021-05-06
|
WILFRED BROWN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2021-05-06 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-06 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2019
|
061555036
|
2020-06-20
|
WILFRED BROWN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2020-06-20 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-20 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2018
|
061555036
|
2019-05-27
|
WILFRED BROWN, M.D., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2019-05-27 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-27 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2017
|
061555036
|
2018-07-02
|
WILFRED BROWN, M.D., P.C.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2018-07-01 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2016
|
061555036
|
2017-06-13
|
WILFRED BROWN, M.D., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2017-06-13 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD. PC 401(K) PLAN
|
2015
|
061555036
|
2016-05-19
|
WILFRED BROWN, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY ROAD, SUITE 201A, MIDDLEBURY, CT, 06762
|
Signature of
Role |
Plan administrator |
Date |
2016-05-19 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WILFRED BROWN, MD, PC 401(K) PLAN
|
2014
|
061555036
|
2015-03-05
|
WILFRED BROWN, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037582564
|
Plan sponsor’s
address |
530 MIDDLEBURY RD STE 106B, MIDDLEBURY, CT, 067622546
|
Signature of
Role |
Plan administrator |
Date |
2015-03-05 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-05 |
Name of individual signing |
CAROLYN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|