PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2017
|
061637053
|
2018-02-07
|
PAUL M. GREIF, M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606088631
|
Plan sponsor’s
address |
212 GREAT NECK ROAD, WATERFORD, CT, 06385
|
Signature of
Role |
Plan administrator |
Date |
2018-02-07 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2017
|
061637053
|
2018-07-18
|
PAUL M. GREIF, M.D., LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8606088631
|
Plan sponsor’s
address |
212 GREAT NECK ROAD, WATERFORD, CT, 06385
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2016
|
061637053
|
2017-02-16
|
PAUL M. GREIF, M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2017-02-15 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-15 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2015
|
061637053
|
2016-02-04
|
PAUL M. GREIF, M.D., LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2016-02-04 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2014
|
061637053
|
2015-05-21
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2015-05-21 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2013
|
061637053
|
2014-02-28
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2014-02-27 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-27 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2012
|
061637053
|
2013-04-25
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2011
|
061637053
|
2012-05-03
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061637053 |
Plan administrator’s name |
PAUL M. GREIF, M.D., LLC |
Plan administrator’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360 |
Administrator’s telephone number |
8602049735 |
Signature of
Role |
Plan administrator |
Date |
2012-05-02 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2010
|
061637053
|
2011-05-10
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061637053 |
Plan administrator’s name |
PAUL M. GREIF, M.D., LLC |
Plan administrator’s
address |
164 OTROBANDO AVENUE - SUITE B, NORWICH, CT, 06360 |
Administrator’s telephone number |
8602049735 |
Signature of
Role |
Plan administrator |
Date |
2011-05-09 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAUL M. GREIF, M.D., LLC PROFIT SHARING PLAN
|
2009
|
061637053
|
2010-05-12
|
PAUL M. GREIF, M.D., LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8602049735
|
Plan sponsor’s
address |
WAWECUS MEDICAL CENTER, 79 WAWECUS STREET - SUITE 102, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061637053 |
Plan administrator’s name |
PAUL M. GREIF, M.D., LLC |
Plan administrator’s
address |
WAWECUS MEDICAL CENTER, 79 WAWECUS STREET - SUITE 102, NORWICH, CT, 06360 |
Administrator’s telephone number |
8602049735 |
Signature of
Role |
Plan administrator |
Date |
2010-05-12 |
Name of individual signing |
PAUL GREIF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|