|
MIDSTATE MSO, LLC RETIREMENT PLAN
|
2011
|
204312072
|
2012-09-14
|
MIDSTATE MSO, LLC
|
39
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036945582
|
| Plan sponsor’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451
|
Plan administrator’s name and address
| Administrator’s EIN |
204312072 |
| Plan administrator’s name |
MIDSTATE MSO, LLC |
| Plan administrator’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451 |
| Administrator’s telephone number |
2036945582 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-14 |
| Name of individual signing |
FILIPPO CEFALY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-14 |
| Name of individual signing |
FILIPPO CEFALY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDSTATE MSO, LLC RETIREMENT PLAN
|
2010
|
204312072
|
2011-09-23
|
MIDSTATE MSO, LLC
|
25
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036948285
|
| Plan sponsor’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451
|
Plan administrator’s name and address
| Administrator’s EIN |
204312072 |
| Plan administrator’s name |
MIDSTATE MSO, LLC |
| Plan administrator’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451 |
| Administrator’s telephone number |
2036948285 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-23 |
| Name of individual signing |
FILIPPO CEFALY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDSTATE MSO, LLC RETIREMENT PLAN
|
2009
|
204312072
|
2010-08-12
|
MIDSTATE MSO, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036948285
|
| Plan sponsor’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451
|
Plan administrator’s name and address
| Administrator’s EIN |
204312072 |
| Plan administrator’s name |
MIDSTATE MSO, LLC |
| Plan administrator’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451 |
| Administrator’s telephone number |
2036948285 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-03 |
| Name of individual signing |
DANIELLE SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-03 |
| Name of individual signing |
DANIELLE SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDSTATE MSO, LLC RETIREMENT PLAN
|
2009
|
204312072
|
2010-08-03
|
MIDSTATE MSO, LLC
|
9
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036948285
|
| Plan sponsor’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451
|
Plan administrator’s name and address
| Administrator’s EIN |
204312072 |
| Plan administrator’s name |
MIDSTATE MSO, LLC |
| Plan administrator’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451 |
| Administrator’s telephone number |
2036948285 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-03 |
| Name of individual signing |
DANIELLE SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-03 |
| Name of individual signing |
DANIELLE SCHNEIDER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIDSTATE MSO, LLC RETIREMENT PLAN
|
2009
|
204312072
|
2010-06-29
|
MIDSTATE MSO, LLC
|
9
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036948285
|
| Plan sponsor’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451
|
Plan administrator’s name and address
| Administrator’s EIN |
204312072 |
| Plan administrator’s name |
MIDSTATE MSO, LLC |
| Plan administrator’s
address |
435 LEWIS AVENUE, MERIDEN, CT, 06451 |
| Administrator’s telephone number |
2036948285 |
|
