NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
2018
|
060931660
|
2019-12-03
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2019-12-03 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2018
|
060931660
|
2019-07-08
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2019-07-08 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2017
|
060931660
|
2018-09-06
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2018-09-06 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-06 |
Name of individual signing |
DAVID A. KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2016
|
060931660
|
2017-06-16
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2015
|
060931660
|
2016-04-13
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2016-04-13 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2014
|
060931660
|
2015-09-25
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2015-09-25 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2013
|
060931660
|
2014-10-13
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2012
|
060931660
|
2013-10-02
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Signature of
Role |
Plan administrator |
Date |
2013-10-02 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2011
|
060931660
|
2012-10-11
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Plan administrator’s name and address
Administrator’s EIN |
060931660 |
Plan administrator’s name |
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. |
Plan administrator’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553 |
Administrator’s telephone number |
8602780070 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. PROFIT SHARING PLAN
|
2010
|
060931660
|
2011-10-18
|
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-09-02
|
Business code |
621111
|
Sponsor’s telephone number |
8602780070
|
Plan sponsor’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553
|
Plan administrator’s name and address
Administrator’s EIN |
060931660 |
Plan administrator’s name |
NEUROSURGEONS OF CENTRAL CONNECTICUT, P.C. |
Plan administrator’s
address |
100 RETREAT AVENUE, STE 705, HARTFORD, CT, 061062553 |
Administrator’s telephone number |
8602780070 |
Signature of
Role |
Plan administrator |
Date |
2011-10-18 |
Name of individual signing |
DAVID KVAM, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|