BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2022
|
060870439
|
2023-09-07
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
060870439
|
2022-06-21
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2022-06-21 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-21 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
060870439
|
2021-10-14
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
060870439
|
2020-07-29
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-29 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
060870439
|
2019-05-16
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2019-05-16 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-16 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
060870439
|
2018-05-25
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2018-05-25 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-25 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
060870439
|
2017-10-12
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
060870439
|
2016-10-15
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-15 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
060870439
|
2015-04-01
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2015-04-01 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-01 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
060870439
|
2014-10-13
|
BROOKSIDE GYNECOLOGY ASSOCIATES, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038697080
|
Plan sponsor’s
address |
159 W. PUTNAM AVENUE, GREENWICH, CT, 06830
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
CARLA WILLIAMS, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
CARLA WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|