CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
061365689
|
2014-06-03
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034532795
|
Plan sponsor’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233
|
Plan administrator’s name and address
Administrator’s EIN |
061365689 |
Plan administrator’s name |
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. |
Plan administrator’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233 |
Administrator’s telephone number |
2034532795 |
Signature of
Role |
Plan administrator |
Date |
2014-06-03 |
Name of individual signing |
PETER FRANZOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
061365689
|
2013-04-26
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034532795
|
Plan sponsor’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233
|
Plan administrator’s name and address
Administrator’s EIN |
061365689 |
Plan administrator’s name |
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. |
Plan administrator’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233 |
Administrator’s telephone number |
2034532795 |
Signature of
Role |
Plan administrator |
Date |
2013-04-26 |
Name of individual signing |
PETER FRANZOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
061365689
|
2012-04-10
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034532795
|
Plan sponsor’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233
|
Plan administrator’s name and address
Administrator’s EIN |
061365689 |
Plan administrator’s name |
CONNECTICUT MEDICAL CLAIMS MANAGEMENT, INC. |
Plan administrator’s
address |
P.O. BOX 233, GUILFORD, CT, 064370233 |
Administrator’s telephone number |
2034532795 |
Signature of
Role |
Plan administrator |
Date |
2012-04-10 |
Name of individual signing |
PETER FRANZOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT MEDICAL CLAIMS 401K PROFIT SHARING PLAN & TRUST
|
2010
|
061365689
|
2011-05-15
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034532795
|
Plan sponsor’s
address |
PO BOX 233, GUILFORD, CT, 064370233
|
Plan administrator’s name and address
Administrator’s EIN |
061365689 |
Plan administrator’s name |
CONNECTICUT MEDICAL CLAIMS MANAGEMENT |
Plan administrator’s
address |
PO BOX 233, GUILFORD, CT, 064370233 |
Administrator’s telephone number |
2034532795 |
Signature of
Role |
Plan administrator |
Date |
2011-05-15 |
Name of individual signing |
PETER FRANZOSA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CONNECTICUT MEDICAL CLAIMS 401K PROFIT SHARING PLAN & TRUST
|
2010
|
061365689
|
2011-05-16
|
CONNECTICUT MEDICAL CLAIMS MANAGEMENT
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
2034532795
|
Plan sponsor’s
address |
PO BOX 233, GUILFORD, CT, 064370233
|
Plan administrator’s name and address
Administrator’s EIN |
061365689 |
Plan administrator’s name |
CONNECTICUT MEDICAL CLAIMS MANAGEMENT |
Plan administrator’s
address |
PO BOX 233, GUILFORD, CT, 064370233 |
Administrator’s telephone number |
2034532795 |
Signature of
Role |
Plan administrator |
Date |
2011-05-16 |
Name of individual signing |
PETER FRANZOSA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|