|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
263004843
|
2015-07-13
|
CONNECTICUT KIDNEY CENTER, LLC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-13 |
| Name of individual signing |
DAWN RICHETELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
263004843
|
2014-09-09
|
CONNECTICUT KIDNEY CENTER, LLC
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-09 |
| Name of individual signing |
DAWN RICHETELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
263004843
|
2013-09-06
|
CONNECTICUT KIDNEY CENTER, LLC
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-06 |
| Name of individual signing |
AMY MINUIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
263004843
|
2012-10-10
|
CONNECTICUT KIDNEY CENTER, LLC
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Plan administrator’s name and address
| Administrator’s EIN |
263004843 |
| Plan administrator’s name |
CONNECTICUT KIDNEY CENTER, LLC |
| Plan administrator’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477 |
| Administrator’s telephone number |
2037991252 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
AMY MINUIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
263004843
|
2011-07-11
|
CONNECTICUT KIDNEY CENTER, LLC
|
14
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Plan administrator’s name and address
| Administrator’s EIN |
263004843 |
| Plan administrator’s name |
CONNECTICUT KIDNEY CENTER, LLC |
| Plan administrator’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477 |
| Administrator’s telephone number |
2037991252 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-11 |
| Name of individual signing |
JOHN DOE |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
CONNECTICUT KIDNEY CENTER, LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
263004843
|
2011-07-13
|
CONNECTICUT KIDNEY CENTER, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621510
|
| Sponsor’s telephone number |
2037991252
|
| Plan sponsor’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477
|
Plan administrator’s name and address
| Administrator’s EIN |
263004843 |
| Plan administrator’s name |
CONNECTICUT KIDNEY CENTER, LLC |
| Plan administrator’s
address |
240 INDIAN RIVER ROAD SUITE A-5, ORANGE, CT, 06477 |
| Administrator’s telephone number |
2037991252 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-13 |
| Name of individual signing |
AMY MINUIT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
