JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2018
|
061297371
|
2019-06-20
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
105 WAWECUS STEET, SUITE 2, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
JOHN J. GIACCHETTO, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2017
|
061297371
|
2018-04-05
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
105 WAWECUS STREET, SUITE 2, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2018-04-05 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2016
|
061297371
|
2017-05-15
|
JOHN J. GIACCHETTO, M.D., P.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
105 WAWECUS STREET, SUITE 2, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2017-05-14 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-14 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2015
|
061297371
|
2016-05-09
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
105 WAWECUS STREET, SUITE 2, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2016-05-08 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-08 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2014
|
061297371
|
2015-04-29
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
105 WAWECUS STREET, SUITE 2, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2013
|
061297371
|
2014-05-08
|
JOHN J. GIACCHETTO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2014-05-07 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-07 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2012
|
061297371
|
2013-05-07
|
JOHN J. GIACCHETTO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-06 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2011
|
061297371
|
2012-05-08
|
JOHN J. GIACCHETTO, M.D., P.C.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061297371 |
Plan administrator’s name |
JOHN J. GIACCHETTO, M.D., P.C. |
Plan administrator’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360 |
Administrator’s telephone number |
8608891116 |
Signature of
Role |
Plan administrator |
Date |
2012-05-07 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2010
|
061297371
|
2011-03-24
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061297371 |
Plan administrator’s name |
JOHN J. GIACCHETTO, M.D., P.C. |
Plan administrator’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360 |
Administrator’s telephone number |
8608891116 |
Signature of
Role |
Plan administrator |
Date |
2011-03-23 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN J. GIACCHETTO, M.D., P.C. PROFIT SHARING PLAN & TRUST
|
2009
|
061297371
|
2010-07-07
|
JOHN J. GIACCHETTO, M.D., P.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8608891116
|
Plan sponsor’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360
|
Plan administrator’s name and address
Administrator’s EIN |
061297371 |
Plan administrator’s name |
JOHN J. GIACCHETTO, M.D., P.C. |
Plan administrator’s
address |
330 WASHINGTON STREET, SUITE 320, NORWICH, CT, 06360 |
Administrator’s telephone number |
8608891116 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
JOHN GIACCHETTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|