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 |
|
|