|
STAMFORD INFECTIOUS DISEASES, LLC INCENTIVE SAVINGS PLAN AND TRUST
|
2014
|
260019326
|
2018-11-01
|
STAMFORD INFECTIOUS DISEASES, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033531427
|
| Plan sponsor’s
address |
29 HOSPITAL PLAZA, SUITE 605, STAMFORD, CT, 06902
|
Plan administrator’s name and address
| Administrator’s EIN |
260019326 |
| Plan administrator’s name |
LYNDA S STREETT, MD |
| Plan administrator’s
address |
29 HOSPITAL PLAZA, SUITE 605, STAMFORD, CT, 06902 |
| Administrator’s telephone number |
2033571427 |
|
|
STAMFORD INFECTIOUS DISEASES, LLC INCENTIVE SAVINGS PLAN AND TRUST
|
2013
|
260019326
|
2015-08-14
|
STAMFORD INFECTIOUS DISEASES, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033531427
|
| Plan sponsor’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902
|
Signature of
| Role |
Plan administrator |
| Date |
2015-08-14 |
| Name of individual signing |
LYNDA S STREET MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAMFORD INFECTIOUS DISEASES, LLC INCENTIVE SAVINGS PLAN AND TRUST
|
2012
|
260019326
|
2014-08-14
|
STAMFORD INFECTIOUS DISEASES, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033531427
|
| Plan sponsor’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902
|
Signature of
| Role |
Plan administrator |
| Date |
2014-08-14 |
| Name of individual signing |
LYNDA S STREET MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAMFORD INFECTIOUS DISEASES, LLC INCENTIVE SAVINGS PLAN AND TRUST
|
2011
|
260019326
|
2013-08-14
|
STAMFORD INFECTIOUS DISEASES, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033531427
|
| Plan sponsor’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902
|
Plan administrator’s name and address
| Administrator’s EIN |
260019326 |
| Plan administrator’s name |
STAMFORD INFECTIOUS DISEASES, LLC |
| Plan administrator’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902 |
| Administrator’s telephone number |
2033531427 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-14 |
| Name of individual signing |
LYNDA S STREET MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAMFORD INFECTIOUS DISEASES, LLC INCENTIVE SAVINGS PLAN AND TRUST
|
2010
|
260019326
|
2012-08-15
|
STAMFORD INFECTIOUS DISEASES, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-11-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2033531427
|
| Plan sponsor’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902
|
Plan administrator’s name and address
| Administrator’s EIN |
260019326 |
| Plan administrator’s name |
STAMFORD INFECTIOUS DISEASES, LLC |
| Plan administrator’s
address |
166 WEST BROAD STREET, SUITE 202, STAMFORD, CT, 06902 |
| Administrator’s telephone number |
2033531427 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-15 |
| Name of individual signing |
LYNDA S STREET MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
