|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2023
|
260264231
|
2024-09-24
|
PULMONARY SPECIALTIES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
GRIFFIN HOSPITAL, 130 DIVISION ST, DERBY, CT, 06418
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-24 |
| Name of individual signing |
KATHLEEN CHAISSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2022
|
260264231
|
2023-09-19
|
PULMONARY SPECIALTIES, P.C.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
GRIFFIN HOSPITAL, 130 DIVISION ST, DERBY, CT, 06418
|
Signature of
| Role |
Plan administrator |
| Date |
2023-09-19 |
| Name of individual signing |
KATHLEEN CHAISSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2021
|
260264231
|
2022-10-11
|
PULMONARY SPECIALTIES, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
KATHLEEN CHAISSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2020
|
260264231
|
2021-09-24
|
PULMONARY SPECIALTIES, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-24 |
| Name of individual signing |
KATHLEEN CHAISSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2019
|
260264231
|
2020-09-23
|
PULMONARY SPECIALTIES, P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2018
|
260264231
|
2019-10-10
|
PULMONARY SPECIALTIES, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2017
|
260264231
|
2018-09-25
|
PULMONARY SPECIALTIES, P.C.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2016
|
260264231
|
2017-08-28
|
PULMONARY SPECIALTIES, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2015
|
260264231
|
2016-09-16
|
PULMONARY SPECIALTIES, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
|
|
PULMONARY SPECIALTIES, P.C. 401(K) PLAN
|
2014
|
260264231
|
2015-09-10
|
PULMONARY SPECIALTIES, P.C.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037327573
|
| Plan sponsor’s
address |
130 DIVISION STREET, DERBY, CT, 06418
|
Signature of
| Role |
Plan administrator |
| Date |
2015-09-10 |
| Name of individual signing |
KENNETH DOBULER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
