|
MIRA DX INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
262078526
|
2015-04-06
|
MIRA DX INC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037899000
|
| Plan sponsor’s
address |
300 GEORGE ST, NEW HAVEN, CT, 065116624
|
Signature of
| Role |
Plan administrator |
| Date |
2015-04-06 |
| Name of individual signing |
JOANNE WEIDHAAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRA DX INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
262078526
|
2014-05-28
|
MIRA DX INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037899000
|
| Plan sponsor’s
address |
300 GEORGE ST, NEW HAVEN, CT, 065116624
|
Signature of
| Role |
Plan administrator |
| Date |
2014-05-28 |
| Name of individual signing |
JOANNE WEIDHAAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRA DX INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
262078526
|
2013-08-01
|
MIRA DX INC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037899000
|
| Plan sponsor’s
address |
300 GEORGE ST, NEW HAVEN, CT, 065116624
|
Signature of
| Role |
Plan administrator |
| Date |
2013-08-01 |
| Name of individual signing |
MIRA DX INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRA DX INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
262078526
|
2012-08-02
|
MIRA DX INC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037899000
|
| Plan sponsor’s
address |
300 GEORGE ST, NEW HAVEN, CT, 065116624
|
Plan administrator’s name and address
| Administrator’s EIN |
262078526 |
| Plan administrator’s name |
MIRA DX INC |
| Plan administrator’s
address |
300 GEORGE ST, NEW HAVEN, CT, 065116624 |
| Administrator’s telephone number |
2037899000 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-02 |
| Name of individual signing |
MIRA DX INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MIRA DX INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
262078526
|
2011-10-06
|
MIRA DX INC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
2037899000
|
| Plan sponsor’s
address |
300 GEORGE STREET, NEW HAVEN, CT, 06511
|
Plan administrator’s name and address
| Administrator’s EIN |
262078526 |
| Plan administrator’s name |
MIRA DX INC |
| Plan administrator’s
address |
300 GEORGE STREET, NEW HAVEN, CT, 06511 |
| Administrator’s telephone number |
2037899000 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-06 |
| Name of individual signing |
MIRA DX INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
