|
MITCHEL G. KATZ, MD LLC 401(K) P/S PLAN
|
2018
|
264606767
|
2019-09-03
|
MITCHEL G. KATZ, MD LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
6075733352
|
| Plan sponsor’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-01 |
| Name of individual signing |
MITCHEL KATZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MITCHEL G. KATZ, MD LLC 401(K) P/S PLAN
|
2018
|
264606767
|
2019-06-06
|
MITCHEL G. KATZ, MD LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8607573352
|
| Plan sponsor’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
264606767 |
| Plan administrator’s name |
MITCHEL G. KATZ, MD LLC |
| Plan administrator’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8607573352 |
Signature of
| Role |
Plan administrator |
| Date |
2019-06-06 |
| Name of individual signing |
MITCHEL KATZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MITCHEL G. KATZ, MD LLC 401(K) P/S PLAN
|
2017
|
264606767
|
2018-04-06
|
MITCHEL G. KATZ, MD LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8607573352
|
| Plan sponsor’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
264606767 |
| Plan administrator’s name |
MITCHEL G. KATZ, MD LLC |
| Plan administrator’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8607573352 |
Signature of
| Role |
Plan administrator |
| Date |
2018-04-06 |
| Name of individual signing |
MITCHEL KATZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MITCHEL G. KATZ, MD LLC 401(K) P/S PLAN
|
2016
|
264606767
|
2017-05-23
|
MITCHEL G. KATZ, MD LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8607573352
|
| Plan sponsor’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
264606767 |
| Plan administrator’s name |
MITCHEL G. KATZ, MD LLC |
| Plan administrator’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8607573352 |
Signature of
| Role |
Plan administrator |
| Date |
2017-05-23 |
| Name of individual signing |
MITCHEL KATZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MITCHEL G. KATZ, MD LLC 401(K) P/S PLAN
|
2015
|
264606767
|
2016-04-02
|
MITCHEL G. KATZ, MD LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8607573352
|
| Plan sponsor’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067
|
Plan administrator’s name and address
| Administrator’s EIN |
264606767 |
| Plan administrator’s name |
MITCHEL G. KATZ, MD LLC |
| Plan administrator’s
address |
1086 ELM ST STE 101A, ROCKY HILL, CT, 06067 |
| Administrator’s telephone number |
8607573352 |
Signature of
| Role |
Plan administrator |
| Date |
2016-04-02 |
| Name of individual signing |
VIRGINIA KATZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
