THE REYNOLDS CLINIC, LLC
|
2020
|
113447240
|
2021-06-08
|
THE REYNOLDS CLINIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2021-06-07 |
Name of individual signing |
JESSICA FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-07 |
Name of individual signing |
JESSICA FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE REYNOLDS CLINIC, LLC
|
2020
|
113447240
|
2021-05-19
|
THE REYNOLDS CLINIC, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2021-05-19 |
Name of individual signing |
JESSICA FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-19 |
Name of individual signing |
JESSICA FUENTES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE REYNOLDS CLINIC, LLC
|
2019
|
113447240
|
2020-10-14
|
THE REYNOLDS CLINIC, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE REYNOLDS CLINIC, LLC
|
2018
|
113447240
|
2019-08-01
|
THE REYNOLDS CLINIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2019-08-01 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-01 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE REYNOLDS CLINIC, LLC
|
2017
|
113447240
|
2018-08-01
|
THE REYNOLDS CLINIC, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2018-08-01 |
Name of individual signing |
ROBERT F. REYNOLDS, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-01 |
Name of individual signing |
ROBERT F. REYNOLDS, PH.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE REYNOLDS CLINIC, LLC
|
2016
|
113447240
|
2017-10-16
|
THE REYNOLDS CLINIC, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
8603430227
|
Plan sponsor’s
address |
770 SAYBROOK RD, BUILDING B, MIDDLETOWN, CT, 06457
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
ROBERT REYNOLDS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|