|
NEWTOWN CENTER PEDIATRICS, LLC 401(K) PLAN
|
2011
|
320049030
|
2012-02-02
|
NEWTOWN CENTER PEDIATRICS, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2032701846
|
| Plan sponsor’s
address |
19 CANTERBURY LANE, SANDY HOOK, CT, 06482
|
Plan administrator’s name and address
| Administrator’s EIN |
320049030 |
| Plan administrator’s name |
NEWTOWN CENTER PEDIATRICS, LLC |
| Plan administrator’s
address |
19 CANTERBURY LANE, SANDY HOOK, CT, 06482 |
| Administrator’s telephone number |
2032701846 |
Signature of
| Role |
Plan administrator |
| Date |
2012-02-02 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-02-01 |
| Name of individual signing |
RICHARD AUERBACH, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEWTOWN CENTER PEDIATRICS, LLC 401(K) PLAN
|
2010
|
320049030
|
2011-07-14
|
NEWTOWN CENTER PEDIATRICS, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034263267
|
| Plan sponsor’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470
|
Plan administrator’s name and address
| Administrator’s EIN |
320049030 |
| Plan administrator’s name |
NEWTOWN CENTER PEDIATRICS, LLC |
| Plan administrator’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470 |
| Administrator’s telephone number |
2034263267 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-14 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-14 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEWTOWN CENTER PEDIATRICS, LLC 401(K) PLAN
|
2010
|
320049030
|
2011-07-14
|
NEWTOWN CENTER PEDIATRICS, LLC
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034263267
|
| Plan sponsor’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470
|
Plan administrator’s name and address
| Administrator’s EIN |
320049030 |
| Plan administrator’s name |
NEWTOWN CENTER PEDIATRICS, LLC |
| Plan administrator’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470 |
| Administrator’s telephone number |
2034263267 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-14 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-14 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEWTOWN CENTER PEDIATRICS, LLC 401(K) PLAN
|
2009
|
320049030
|
2010-06-15
|
NEWTOWN CENTER PEDIATRICS, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034263267
|
| Plan sponsor’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470
|
Plan administrator’s name and address
| Administrator’s EIN |
320049030 |
| Plan administrator’s name |
NEWTOWN CENTER PEDIATRICS, LLC |
| Plan administrator’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470 |
| Administrator’s telephone number |
2034263267 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-15 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-15 |
| Name of individual signing |
NEWTOWN CENTER PEDIATRICS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NEWTOWN CENTER PEDIATRICS, LLC 401(K) PLAN
|
2009
|
320049030
|
2010-06-13
|
NEWTOWN CENTER PEDIATRICS, LLC
|
8
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034263267
|
| Plan sponsor’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470
|
Plan administrator’s name and address
| Administrator’s EIN |
320049030 |
| Plan administrator’s name |
NEWTOWN CENTER PEDIATRICS, LLC |
| Plan administrator’s
address |
10 QUEEN STREET, NEWTOWN, CT, 06470 |
| Administrator’s telephone number |
2034263267 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-13 |
| Name of individual signing |
RICHARD J. AUERBACH, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-13 |
| Name of individual signing |
NEWTOWN CENTER PEDIATRICS, LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
