FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2021
|
352222954
|
2022-12-26
|
FAIRFIELD PEDIATRICS, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2022-12-26 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2021
|
352222954
|
2022-04-23
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2022-04-23 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2020
|
352222954
|
2021-05-22
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2021-05-22 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2019
|
352222954
|
2020-04-26
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2020-04-26 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2018
|
352222954
|
2019-03-31
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2019-03-31 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2017
|
352222954
|
2018-03-31
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2018-03-31 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2016
|
352222954
|
2017-03-20
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2017-03-20 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2015
|
352222954
|
2016-03-03
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2016-03-03 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2014
|
352222954
|
2015-02-18
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2015-02-18 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD PEDIATRICS, INC. RETIREMENT PLAN
|
2013
|
352222954
|
2014-03-08
|
FAIRFIELD PEDIATRICS, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2033330800
|
Plan sponsor’s
address |
501 KINGS HIGHWAY, SUITE 203, FAIRFIELD, CT, 06825
|
Signature of
Role |
Plan administrator |
Date |
2014-03-08 |
Name of individual signing |
RANJANA PATIL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|