|
KOSTER FAMILY CHIROPRACTIC, LLC 401(K) PLAN
|
2014
|
510668109
|
2015-07-27
|
KOSTER FAMILY CHIROPRACTIC, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8606771100
|
| Plan sponsor’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-27 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-07-27 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KOSTER FAMILY CHIROPRACTIC, LLC 401(K) PLAN
|
2013
|
510668109
|
2014-09-10
|
KOSTER FAMILY CHIROPRACTIC, LLC
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8606771100
|
| Plan sponsor’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-10 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-10 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KOSTER FAMILY CHIROPRACTIC, LLC 401(K) PLAN
|
2013
|
510668109
|
2014-09-26
|
KOSTER FAMILY CHIROPRACTIC, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8606771100
|
| Plan sponsor’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-26 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-09-26 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KOSTER FAMILY CHIROPRACTIC, LLC 401(K) PLAN
|
2012
|
510668109
|
2013-09-18
|
KOSTER FAMILY CHIROPRACTIC, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8606771100
|
| Plan sponsor’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-17 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-17 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KOSTER FAMILY CHIROPRACTIC, LLC 401(K) PLAN
|
2011
|
510668109
|
2012-03-28
|
KOSTER FAMILY CHIROPRACTIC, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
621310
|
| Sponsor’s telephone number |
8606771100
|
| Plan sponsor’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001
|
Plan administrator’s name and address
| Administrator’s EIN |
510668109 |
| Plan administrator’s name |
KOSTER FAMILY CHIROPRACTIC, LLC |
| Plan administrator’s
address |
152 SIMSBURY ROAD, 12 E, RIVERDALE FARMS BUILDING 19, AVON, CT, 06001 |
| Administrator’s telephone number |
8606771100 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-28 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-03-28 |
| Name of individual signing |
MICHAEL KOSTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
