EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2017
|
061546694
|
2018-09-28
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2018-09-28 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-28 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2017
|
061546694
|
2018-12-07
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2018-12-07 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-07 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2016
|
061546694
|
2017-05-24
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2017-05-24 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-24 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2015
|
061546694
|
2016-09-14
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2016-09-14 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-14 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2014
|
061546694
|
2015-07-29
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2015-07-29 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-29 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2013
|
061546694
|
2014-07-15
|
EAST HARTFORD PEDIATRICS, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2014-07-15 |
Name of individual signing |
P VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-15 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2012
|
061546694
|
2013-08-26
|
EAST HARTFORD PEDIATRICS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Signature of
Role |
Plan administrator |
Date |
2013-08-26 |
Name of individual signing |
PERUVAMBA VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-26 |
Name of individual signing |
PVENKAT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2011
|
061546694
|
2012-07-30
|
EAST HARTFORD PEDIATRICS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Plan administrator’s name and address
Administrator’s EIN |
061546694 |
Plan administrator’s name |
EAST HARTFORD PEDIATRICS, LLC |
Plan administrator’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032 |
Administrator’s telephone number |
8602893047 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-30 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2010
|
061546694
|
2011-09-14
|
EAST HARTFORD PEDIATRICS, LLC
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Plan administrator’s name and address
Administrator’s EIN |
061546694 |
Plan administrator’s name |
EAST HARTFORD PEDIATRICS, LLC |
Plan administrator’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032 |
Administrator’s telephone number |
8602893047 |
Signature of
Role |
Plan administrator |
Date |
2011-08-03 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EAST HARTFORD PEDIATRICS, LLC RETIREMENT PLAN
|
2010
|
061546694
|
2011-09-14
|
EAST HARTFORD PEDIATRICS, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8602893047
|
Plan sponsor’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032
|
Plan administrator’s name and address
Administrator’s EIN |
061546694 |
Plan administrator’s name |
EAST HARTFORD PEDIATRICS, LLC |
Plan administrator’s
address |
21 PAUL SPRING RD., FARMINGTON, CT, 06032 |
Administrator’s telephone number |
8602893047 |
Signature of
Role |
Plan administrator |
Date |
2011-09-14 |
Name of individual signing |
JAYASHREE VENKATESH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|