|
HARTFORD FAMILY MEDICINE CENTER,
|
2016
|
341986199
|
2019-10-31
|
HARTFORD FAMILY MEDICINE CENTER,
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-31 |
| Name of individual signing |
DEBBIE E. RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARTFORD FAMILY MEDICINE CENTER, LLC PROFIT SHARING PLAN
|
2015
|
341986199
|
2016-06-07
|
HARTFORD FAMILY MEDICINE CENTER,
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-07 |
| Name of individual signing |
DEBBIE RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARTFORD FAMILY MEDICINE CENTER, LLC PROFIT SHARING PLAN
|
2014
|
341986199
|
2015-07-22
|
HARTFORD FAMILY MEDICINE CENTER,
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-21 |
| Name of individual signing |
DEBBIE RODRIGUEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARTFORD FAMILY MEDICINE CENTER, LLC PROFIT SHARING PLAN
|
2013
|
341986199
|
2014-06-20
|
HARTFORD FAMILY MEDICINE CENTER,
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-20 |
| Name of individual signing |
KIM STEELE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARTFORD FAMILY MEDICINE CENTER, LLC PROFIT SHARING PLAN
|
2012
|
341986199
|
2013-06-17
|
HARTFORD FAMILY MEDICINE CENTER,
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-17 |
| Name of individual signing |
KIM STEELE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARTFORD FAMILY MEDICINE CENTER, LLC PROFIT SHARING PLAN
|
2011
|
341986199
|
2012-07-26
|
HARTFORD FAMILY MEDICINE CENTER,
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602363000
|
| Plan sponsor’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117
|
Plan administrator’s name and address
| Administrator’s EIN |
341986199 |
| Plan administrator’s name |
HARTFORD FAMILY MEDICINE CENTER, |
| Plan administrator’s
address |
345 NORTH MAIN STREET SUITE 245, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number |
8602363000 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
KIM STEELE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
