GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2015
|
061589908
|
2016-03-31
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Signature of
Role |
Plan administrator |
Date |
2016-03-31 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2014
|
061589908
|
2015-08-04
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Signature of
Role |
Plan administrator |
Date |
2015-08-04 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2013
|
061589908
|
2014-04-06
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Signature of
Role |
Plan administrator |
Date |
2014-04-06 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2012
|
061589908
|
2013-04-10
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Signature of
Role |
Plan administrator |
Date |
2013-04-10 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2011
|
061589908
|
2012-04-16
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Plan administrator’s name and address
Administrator’s EIN |
061589908 |
Plan administrator’s name |
GREENWICH OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831 |
Administrator’s telephone number |
2036295500 |
Signature of
Role |
Plan administrator |
Date |
2012-04-16 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2010
|
061589908
|
2011-06-21
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Plan administrator’s name and address
Administrator’s EIN |
061589908 |
Plan administrator’s name |
GREENWICH OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831 |
Administrator’s telephone number |
2036295500 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREENWICH OTOLARYNGOLOGY, P.C. INCENTIVE SAVINGS TRUST
|
2009
|
061589908
|
2010-07-20
|
GREENWICH OTOLARYNGOLOGY, P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2036295500
|
Plan sponsor’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831
|
Plan administrator’s name and address
Administrator’s EIN |
061589908 |
Plan administrator’s name |
GREENWICH OTOLARYNGOLOGY, P.C. |
Plan administrator’s
address |
4 DEERFIELD DRIVE, GREENWICH, CT, 06831 |
Administrator’s telephone number |
2036295500 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
STEVEN FELDMAN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|