|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
260676766
|
2024-04-29
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
39
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722805
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2024-04-29 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-04-29 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
260676766
|
2023-05-15
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722800
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-15 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-05-15 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
260676766
|
2022-06-24
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722800
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-24 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-06-24 |
| Name of individual signing |
FAUSTO PETRUZZIELLO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2020
|
260676766
|
2021-06-22
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722800
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
|
|
FPIM OF SPRING GLEN 401(K) PLAN
|
2019
|
061578985
|
2020-10-05
|
FAMILY PRACTICE & INTERNAL MEDICINE
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034076410
|
| Plan sponsor’s
address |
2200 WHITNEY AVENUE, HAMDEN, CT, 06518
|
|
|
FPIM OF SPRING GLEN 401(K) PLAN
|
2019
|
061578985
|
2020-11-03
|
FAMILY PRACTICE & INTERNAL MEDICINE
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034076410
|
| Plan sponsor’s
address |
2200 WHITNEY AVENUE, HAMDEN, CT, 06518
|
|
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2019
|
260676766
|
2020-03-23
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
46
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722800
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
|
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC 401(K) PROFIT SHARING PLAN
|
2018
|
260676766
|
2019-09-30
|
FAMILY PRACTICE & INTERNAL MEDICINE, LLC
|
51
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2036722800
|
| Plan sponsor’s
address |
52 WASHINGTON AVENUE, SUTE 4, NORTH HAVEN, CT, 06473
|
|
|
FPIM OF SPRING GLEN 401(K) PLAN
|
2018
|
061578985
|
2019-09-25
|
FAMILY PRACTICE & INTERNAL MEDICINE
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034076410
|
| Plan sponsor’s
address |
2200 WHITNEY AVENUE, HAMDEN, CT, 06518
|
|
|
FPIM OF SPRING GLEN 401(K) PLAN
|
2017
|
061578985
|
2018-10-12
|
FAMILY PRACTICE & INTERNAL MEDICINE
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034076410
|
| Plan sponsor’s
address |
2200 WHITNEY AVENUE, HAMDEN, CT, 06518
|
|
