|
FCIFM 401(K) PROFIT SHARING PLAN
|
2023
|
262614059
|
2024-10-14
|
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034459060
|
| Plan sponsor’s
address |
324 ELM ST, STE 203A, MONROE, CT, 06468
|
|
|
FCIFM 401(K) PROFIT SHARING PLAN
|
2022
|
262614059
|
2023-10-09
|
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034459060
|
| Plan sponsor’s
address |
324 ELM ST, STE 203A, MONROE, CT, 06468
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-09 |
| Name of individual signing |
TONYA CREMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FCIFM 401(K) PROFIT SHARING PLAN
|
2021
|
262614059
|
2022-10-11
|
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034459060
|
| Plan sponsor’s
address |
324 ELM ST, STE 203A, MONROE, CT, 06468
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
TONYA CREMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FCIFM 401(K) PROFIT SHARING PLAN
|
2020
|
262614059
|
2021-10-14
|
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034459060
|
| Plan sponsor’s
address |
324 ELM ST, STE 203A, MONROE, CT, 06468
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-14 |
| Name of individual signing |
TONYA CREMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FCIFM 401(K) PROFIT SHARING PLAN
|
2019
|
262614059
|
2020-10-08
|
FAIRFIELD COUNTY INTEGRATIVE FAMILY MEDICINE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034459060
|
| Plan sponsor’s
address |
324 ELM ST, STE 203A, MONROE, CT, 06468
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-08 |
| Name of individual signing |
TONYA CREMIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
