GREATER WATERBURY RETINA LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
205176213
|
2017-11-16
|
GREATER WATERBURY RETINA LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
133 TRANSYLVANIA ROAD, WOODBURY, CT, 06798
|
Signature of
Role |
Plan administrator |
Date |
2017-11-15 |
Name of individual signing |
PAULINE ZIMMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-15 |
Name of individual signing |
PAULINE ZIMMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
205176213
|
2015-08-13
|
GREATER WATERBURY RETINA LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
133 TRANSYLVANIA ROAD, WOODBURY, CT, 067983325
|
Signature of
Role |
Plan administrator |
Date |
2015-08-13 |
Name of individual signing |
PAULINE M. ZIMMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
205176213
|
2014-07-28
|
GREATER WATERBURY RETINA LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
166 WATERBURY RD STE 201, PROSPECT, CT, 067121247
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
PAULINE M. ZIMMERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
205176213
|
2013-06-05
|
GREATER WATERBURY RETINA LLC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
166 WATERBURY RD STE 201, PROSPECT, CT, 067121247
|
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
GREATER WATERBURY RETINA LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
205176213
|
2012-06-14
|
GREATER WATERBURY RETINA LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
166 WATERBURY RD STE 201, PROSPECT, CT, 067121247
|
Plan administrator’s name and address
Administrator’s EIN |
205176213 |
Plan administrator’s name |
GREATER WATERBURY RETINA LLC |
Plan administrator’s
address |
166 WATERBURY RD STE 201, PROSPECT, CT, 067121247 |
Administrator’s telephone number |
2032660296 |
Signature of
Role |
Plan administrator |
Date |
2012-06-14 |
Name of individual signing |
GREATER WATERBURY RETINA LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
205176213
|
2011-07-11
|
GREATER WATERBURY RETINA LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712
|
Plan administrator’s name and address
Administrator’s EIN |
205176213 |
Plan administrator’s name |
GREATER WATERBURY RETINA LLC |
Plan administrator’s
address |
166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712 |
Administrator’s telephone number |
2032660296 |
Signature of
Role |
Plan administrator |
Date |
2011-07-11 |
Name of individual signing |
GREATER WATERBURY RETINA LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREATER WATERBURY RETINA LLC
|
2009
|
205176213
|
2010-07-15
|
GREATER WATERBURY RETINA LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-02-01
|
Business code |
621320
|
Sponsor’s telephone number |
2032660296
|
Plan sponsor’s
address |
166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712
|
Plan administrator’s name and address
Administrator’s EIN |
205176213 |
Plan administrator’s name |
GREATER WATERBURY RETINA LLC |
Plan administrator’s
address |
166 WATERBURY ROAD, SUITE 201, PROSPECT, CT, 06712 |
Administrator’s telephone number |
2032660296 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
GREATER WATERBURY RETINA LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|