CT PULMONARY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
061586361
|
2024-07-23
|
CT PULMONARY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032389446
|
Plan sponsor’s
address |
455 LEWIS AVENUE SUITE 206, MERIDEN, CT, 06450
|
Signature of
Role |
Plan administrator |
Date |
2024-07-23 |
Name of individual signing |
NANCY AMOROSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CT PULMONARY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
061586361
|
2023-06-22
|
CT PULMONARY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032389446
|
Plan sponsor’s
address |
455 LEWIS AVENUE SUITE 206, MERIDEN, CT, 06450
|
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
NANCY AMOROSO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CT PULMONARY LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
061586361
|
2022-07-26
|
CT PULMONARY LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE SUITE 200, MERIDEN, CT, 06450
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
RICHARD GIOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2015
|
061586361
|
2016-07-19
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2014
|
061586361
|
2015-10-14
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2013
|
061586361
|
2014-10-08
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Signature of
Role |
Plan administrator |
Date |
2014-10-08 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-08 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2012
|
061586361
|
2013-06-10
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2011
|
061586361
|
2012-10-11
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Plan administrator’s name and address
Administrator’s EIN |
061586361 |
Plan administrator’s name |
GIOSA & BROWN PULMONARY ASSOCIATES, LLC |
Plan administrator’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121 |
Administrator’s telephone number |
8606210555 |
Signature of
Role |
Plan administrator |
Date |
2012-10-10 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-10 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2010
|
061586361
|
2011-07-12
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Plan administrator’s name and address
Administrator’s EIN |
061586361 |
Plan administrator’s name |
GIOSA & BROWN PULMONARY ASSOCIATES, LLC |
Plan administrator’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121 |
Administrator’s telephone number |
8606210555 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC 401(K) PLAN
|
2010
|
061586361
|
2011-07-18
|
GIOSA & BROWN PULMONARY ASSOCIATES, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606210555
|
Plan sponsor’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121
|
Plan administrator’s name and address
Administrator’s EIN |
061586361 |
Plan administrator’s name |
GIOSA & BROWN PULMONARY ASSOCIATES, LLC |
Plan administrator’s
address |
455 LEWIS AVENUE, SUITE 200, MERIDEN, CT, 064502121 |
Administrator’s telephone number |
8606210555 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-15 |
Name of individual signing |
CURTLAND BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|