|
FAIRFIELD FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2013
|
061609858
|
2014-10-02
|
FAIRFIELD FAMILY PHYSICIANS, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033789002
|
| Plan sponsor’s
address |
2184 MAIN STREET, STRATFORD, CT, 06615
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-02 |
| Name of individual signing |
DR LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2012
|
061609858
|
2013-09-09
|
FAIRFIELD FAMILY PHYSICIANS, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033789002
|
| Plan sponsor’s
address |
2184 MAIN STREET, STRATFORD, CT, 06615
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-09 |
| Name of individual signing |
LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD FAMILY PHYSICIANS, LLC 401(K) PLAN
|
2011
|
061609858
|
2012-09-23
|
FAIRFIELD FAMILY PHYSICIANS, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033789002
|
| Plan sponsor’s
address |
2184 MAIN STREET, STRATFORD, CT, 06615
|
Plan administrator’s name and address
| Administrator’s EIN |
061609858 |
| Plan administrator’s name |
FAIRFIELD FAMILY PHYSICIANS, LLC |
| Plan administrator’s
address |
2184 MAIN STREET, STRATFORD, CT, 06615 |
| Administrator’s telephone number |
2033789002 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-23 |
| Name of individual signing |
LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD FAMILY PHYSICIANS LLC 401(K) AND PROFIT SHARING
|
2010
|
061609858
|
2011-07-26
|
FAIRFIELD FAMILY PHYSICIANS LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033789002
|
| Plan sponsor’s
address |
2184 MAIN ST., STRATFORD, CT, 06615
|
Plan administrator’s name and address
| Administrator’s EIN |
061609858 |
| Plan administrator’s name |
FAIRFIELD FAMILY PHYSICIANS LLC |
| Plan administrator’s
address |
2184 MAIN ST., STRATFORD, CT, 06615 |
| Administrator’s telephone number |
2033789002 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-26 |
| Name of individual signing |
LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-26 |
| Name of individual signing |
LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD FAMILY PHYSICIANS LLC 401(K) AND PROFIT SHARING
|
2009
|
061609858
|
2010-09-13
|
FAIRFIELD FAMILY PHYSICIANS LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-10-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033789002
|
| Plan sponsor’s
address |
2184 MAIN ST., STRATFORD, CT, 06615
|
Plan administrator’s name and address
| Administrator’s EIN |
061609858 |
| Plan administrator’s name |
FAIRFIELD FAMILY PHYSICIANS LLC |
| Plan administrator’s
address |
2184 MAIN ST., STRATFORD, CT, 06615 |
| Administrator’s telephone number |
2033789002 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-13 |
| Name of individual signing |
LEE FOREST |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
