|
NERI J. HOLZER, M.D., P.C.
|
2013
|
061027462
|
2014-03-17
|
NERI J. HOLZER, M.D., P.C.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8609287793
|
| Plan sponsor’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260
|
Signature of
| Role |
Plan administrator |
| Date |
2014-03-17 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NERI J. HOLZER, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
061027462
|
2014-03-17
|
NERI J. HOLZER, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8609287793
|
| Plan sponsor’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260
|
Signature of
| Role |
Plan administrator |
| Date |
2014-03-17 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NERI J. HOLZER, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
061027462
|
2013-04-23
|
NERI J. HOLZER, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8609287793
|
| Plan sponsor’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260
|
Plan administrator’s name and address
| Administrator’s EIN |
061027462 |
| Plan administrator’s name |
NERI J. HOLZER, M.D., P.C. |
| Plan administrator’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260 |
| Administrator’s telephone number |
8609287793 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-23 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-04-23 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NERI J. HOLZER, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
061027462
|
2011-12-12
|
NERI J. HOLZER, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8609287793
|
| Plan sponsor’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260
|
Plan administrator’s name and address
| Administrator’s EIN |
061027462 |
| Plan administrator’s name |
NERI J. HOLZER, M.D., P.C. |
| Plan administrator’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260 |
| Administrator’s telephone number |
8609287793 |
Signature of
| Role |
Plan administrator |
| Date |
2011-12-12 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
NERI J. HOLZER, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2009
|
061027462
|
2011-05-04
|
NERI J. HOLZER, M.D., P.C.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-09-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
8609287793
|
| Plan sponsor’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260
|
Plan administrator’s name and address
| Administrator’s EIN |
061027462 |
| Plan administrator’s name |
NERI J. HOLZER, M.D., P.C. |
| Plan administrator’s
address |
19 QUINEBAUG AVENUE, PUTNAM, CT, 06260 |
| Administrator’s telephone number |
8609287793 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-04 |
| Name of individual signing |
NERI HOLZER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
