MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2021
|
061173763
|
2022-10-17
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2022-10-17 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-17 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
061173763
|
2021-05-22
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2021-05-22 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-22 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2020
|
061173763
|
2021-05-22
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2021-05-22 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-22 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2019
|
061173763
|
2020-07-27
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2020-07-27 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-27 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2018
|
061173763
|
2019-10-01
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2017
|
061173763
|
2018-07-27
|
MICHAEL E. OPALAK, M.D., P.C.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2018-07-27 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-27 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2016
|
061173763
|
2017-10-11
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2017-10-11 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-11 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2015
|
061173763
|
2016-08-23
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2016-08-23 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-23 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2014
|
061173763
|
2015-10-07
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
2890 MAIN STREET, SUITE D, STRATFORD, CT, 06614
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-07 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MICHAEL E. OPALAK, M.D., P.C. 401(K) PROFIT SHARING PLAN
|
2013
|
061173763
|
2014-09-11
|
MICHAEL E. OPALAK, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-12-30
|
Business code |
621111
|
Sponsor’s telephone number |
2033363303
|
Plan sponsor’s
address |
340 CAPITOL AVENUE, BRIDGEPORT, CT, 06606
|
Signature of
Role |
Plan administrator |
Date |
2014-09-11 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-11 |
Name of individual signing |
MICHAEL E. OPALAK, M.D., PRESIDENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|