|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2019
|
455143469
|
2020-04-05
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
Signature of
| Role |
Plan administrator |
| Date |
2020-04-05 |
| Name of individual signing |
DANIEL J. MASTELLA, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2019
|
455143469
|
2020-05-11
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-11 |
| Name of individual signing |
DANIEL J. MASTELLA, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2018
|
455143469
|
2019-07-25
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-25 |
| Name of individual signing |
DANIEL J. MASTELLA, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2017
|
455143469
|
2018-07-12
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-12 |
| Name of individual signing |
DANIEL J. MASTELLA, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2016
|
455143469
|
2017-07-15
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-15 |
| Name of individual signing |
DANIEL J. MASTELLA, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-05-08 |
| Name of individual signing |
LINDA K. GALLACHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONNECTICUT URGENT CARE CENTERS 401(K) PLAN
|
2015
|
455143469
|
2016-07-22
|
CONNECTICUT URGENT CARE CENTERS, LLC
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-08-15
|
| Business code |
621111
|
| Sponsor’s telephone number |
8608942194
|
| Plan sponsor’s
address |
136 BERLIN ROAD, CROMWELL, CT, 06416
|
|
