MEDSTAFF NATIONWIDE LLC

Business Information

Congressional District	03
State/Country of Incorporation	CT, USA
Activation Date	2020-05-25
Initial Registration Date	2020-04-29
Entity Start Date	2016-04-06
Fiscal Year End Close Date	Dec 31

Service Classifications

NAICS Codes	339112, 423450
Product and Service Codes	6510, 6515, 6532

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	PAT R CICCAGLIONE
Role	CEO/OWNER
Address	599 NEW HAVEN AVE, MILFORD, CT, 06460, USA

Government Business
Title	PRIMARY POC
Name	PAT R CICCAGLIONE
Role	CEO/OWNER
Address	599 NEW HAVEN AVE, MILFORD, CT, 06460, USA

Past Performance	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	561300
Sponsor’s telephone number	2033447768
Plan sponsor’s address	599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2024-05-14
Name of individual signing	QIAN LIU
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	561300
Sponsor’s telephone number	2033447768
Plan sponsor’s address	599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2023-05-27
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	561300
Sponsor’s telephone number	2033447768
Plan sponsor’s address	599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2022-05-19
Name of individual signing	CHRISTINE RIMER
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2020-01-01
Business code	561300
Sponsor’s telephone number	2033447768
Plan sponsor’s address	599 NEW HAVEN AVE, MILFORD, CT, 06460

Plan administrator’s name and address

Administrator’s EIN	474474775
Plan administrator’s name	GUIDELINE, INC.
Plan administrator’s address	3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number	8882283491

Signature of

Role	Plan administrator
Date	2021-07-15
Name of individual signing	CAROL HO
Valid signature	Filed with authorized/valid electronic signature