|
CENTRAL CT SURGEONS, LLC 401(K) RETIREMENT PLAN
|
2012
|
270863446
|
2013-07-26
|
CENTRAL CT SURGEONS, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602245363
|
| Plan sponsor’s
address |
11 SOUTH ROAD, SUITE 130, FARMINGTON, CT, 06032
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-26 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-26 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL CT SURGEONS, LLC 401(K) RETIREMENT PLAN
|
2011
|
270863446
|
2012-07-24
|
CENTRAL CT SURGEONS, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602245363
|
| Plan sponsor’s
address |
11 SOUTH ROAD, SUITE 130, FARMINGTON, CT, 06032
|
Plan administrator’s name and address
| Administrator’s EIN |
270863446 |
| Plan administrator’s name |
CENTRAL CT SURGEONS, LLC |
| Plan administrator’s
address |
11 SOUTH ROAD, SUITE 130, FARMINGTON, CT, 06032 |
| Administrator’s telephone number |
8602245363 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-24 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-24 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CENTRAL CT SURGEONS, LLC 401(K) RETIREMENT PLAN
|
2010
|
270863446
|
2011-07-27
|
CENTRAL CT SURGEONS, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8602245363
|
| Plan sponsor’s
address |
11 SOUTH ROAD, SUITE 130, FARMINGTON, CT, 06032
|
Plan administrator’s name and address
| Administrator’s EIN |
270863446 |
| Plan administrator’s name |
CENTRAL CT SURGEONS, LLC |
| Plan administrator’s
address |
11 SOUTH ROAD, SUITE 130, FARMINGTON, CT, 06032 |
| Administrator’s telephone number |
8602245363 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-27 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-27 |
| Name of individual signing |
CARLOS A. BARBA, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
