BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
061576869
|
2019-07-25
|
BRANFORD INTERNAL MEDICINE, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
061576869
|
2019-07-25
|
BRANFORD INTERNAL MEDICINE, LLC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2017
|
061576869
|
2018-07-25
|
BRANFORD INTERNAL MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2016
|
061576869
|
2017-07-27
|
BRANFORD INTERNAL MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
061576869
|
2016-05-31
|
BRANFORD INTERNAL MEDICINE, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2016-05-31 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
061576869
|
2015-07-22
|
BRANFORD INTERNAL MEDICINE, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
061576869
|
2014-07-24
|
BRANFORD INTERNAL MEDICINE, LLC
|
21
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2014-07-24 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
061576869
|
2014-09-08
|
BRANFORD INTERNAL MEDICINE, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
061576869
|
2013-07-12
|
BRANFORD INTERNAL MEDICINE, LLC
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRANFORD INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
061576869
|
2012-06-08
|
BRANFORD INTERNAL MEDICINE, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034815665
|
Plan sponsor’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405
|
Plan administrator’s name and address
Administrator’s EIN |
061576869 |
Plan administrator’s name |
BRANFORD INTERNAL MEDICINE, LLC |
Plan administrator’s
address |
500 EAST MAIN STREET - SUITE 212, BRANFORD, CT, 06405 |
Administrator’s telephone number |
2034815665 |
Signature of
Role |
Plan administrator |
Date |
2012-06-08 |
Name of individual signing |
DENIS MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|