|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2023
|
201469658
|
2024-10-07
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-07 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-10-07 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2022
|
201469658
|
2023-06-09
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-31 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-05-31 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2021
|
201469658
|
2022-06-28
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
Signature of
| Role |
Plan administrator |
| Date |
2022-04-20 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-04-20 |
| Name of individual signing |
PAMELA JOYCE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2020
|
201469658
|
2021-04-22
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
16
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2019
|
201469658
|
2020-06-18
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2018
|
201469658
|
2019-06-06
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2017
|
201469658
|
2018-07-18
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2016
|
201469658
|
2017-06-29
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
2015
|
201469658
|
2016-09-13
|
ORTHOPAEDIC SPORTS SPECIALISTS, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8606528883
|
| Plan sponsor’s
address |
84 GLASTONBURY BOULEVARD, SUITE 101, GLASTONBURY, CT, 06033
|
|
