LUNG DOCS OF CT, P. C. 401(K) PLAN
|
2019
|
275413691
|
2020-10-08
|
LUNG DOCS OF CT., P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
521 BOSTON POST ROAD, ORANGE, CT, 06477
|
Signature of
Role |
Plan administrator |
Date |
2020-10-08 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-08 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNG DOCS OF CT, P. C. 401(K) PLAN
|
2018
|
275413691
|
2019-10-14
|
LUNG DOCS OF CT., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
521 BOSTON POST ROAD, ORANGE, CT, 06477
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNG DOCS OF CT, P. C. 401(K) PLAN
|
2017
|
275413691
|
2018-10-13
|
LUNG DOCS OF CT., P.C.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
521 BOSTON POST ROAD, ORANGE, CT, 06477
|
Signature of
Role |
Plan administrator |
Date |
2018-10-13 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-13 |
Name of individual signing |
JASDEEP SIDANA, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2016
|
275413691
|
2017-10-11
|
LUNG DOCS OF CT, P.C.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2015
|
275413691
|
2016-07-20
|
LUNG DOCS OF CT, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2014
|
275413691
|
2015-10-05
|
LUNG DOCS OF CT, P.C.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2013
|
275413691
|
2014-08-13
|
LUNG DOCS OF CT, P.C.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2012
|
275413691
|
2013-10-02
|
LUNG DOCS OF CT, P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
JASDEEP SIDANA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-02 |
Name of individual signing |
JASDEEP SIDANA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNG DOCS OF CT, P.C. 401(K) PLAN
|
2011
|
275413691
|
2012-10-15
|
LUNG DOCS OF CT, P.C.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2035293271
|
Plan sponsor’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460
|
Plan administrator’s name and address
Administrator’s EIN |
275413691 |
Plan administrator’s name |
LUNG DOCS OF CT, P.C. |
Plan administrator’s
address |
849 BOSTON POST ROAD, MILFORD, CT, 06460 |
Administrator’s telephone number |
2035293271 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JASDEEP SIDANA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
JASDEEP SIDANA, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|