CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2020
|
061631409
|
2021-06-16
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2019
|
061631409
|
2020-04-06
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2020-04-06 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2018
|
061631409
|
2019-05-09
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2019-05-09 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2017
|
061631409
|
2018-04-26
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2018-04-26 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2016
|
061631409
|
2017-05-11
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan
sponsor’s DBA name |
YNGOLOGY
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2017-05-11 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2015
|
061631409
|
2016-05-14
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan
sponsor’s DBA name |
YNGOLOGY
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2016-05-14 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2014
|
061631409
|
2015-05-21
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan
sponsor’s DBA name |
YNGOLOGY
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2015-05-21 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2013
|
061631409
|
2014-06-19
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan
sponsor’s DBA name |
YNGOLOGY
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2014-06-19 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/PROFIT SHARING PLAN
|
2012
|
061631409
|
2013-10-10
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan
sponsor’s DBA name |
YNGOLOGY
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC 401(K)/ PROFIT SHARING PLAN
|
2011
|
061631409
|
2012-07-24
|
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032450496
|
Plan sponsor’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443
|
Plan administrator’s name and address
Administrator’s EIN |
061631409 |
Plan administrator’s name |
CONNECTICUT PEDIATRIC OTOLARYNGOLOGY, LLC |
Plan administrator’s
address |
230 BOSTON POST ROAD, MADISON, CT, 06443 |
Administrator’s telephone number |
2032450496 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
ERIC BAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-10 |
Name of individual signing |
ASCENSUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|