FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2020
|
061564928
|
2021-06-24
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
2 TRAP FALLS ROAD, SUITE 100, SHELTON, CT, 06484
|
Signature of
Role |
Plan administrator |
Date |
2021-06-23 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-23 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2019
|
061564928
|
2020-07-13
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVENUE, SUITE 3-A, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2020-07-11 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-11 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2018
|
061564928
|
2019-10-10
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVENUE, SUITE 3-A, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-10 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2016
|
061564928
|
2017-07-27
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVENUE, SUITE 3-A, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2017-07-26 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-26 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2015
|
061564928
|
2016-10-10
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVENUE, SUITE 3A, SUITE 3-A, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2016-10-07 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-07 |
Name of individual signing |
CATHERINE DUNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2014
|
061564928
|
2015-06-26
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVENUE, SUITE 3-A, NORWALK, CT, 06851
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2013
|
061564928
|
2014-07-10
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850
|
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-09 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2012
|
061564928
|
2013-05-17
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850
|
Signature of
Role |
Plan administrator |
Date |
2013-05-17 |
Name of individual signing |
PETER INGRALDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-17 |
Name of individual signing |
PETER INGRALDI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2011
|
061564928
|
2012-07-02
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850
|
Plan administrator’s name and address
Administrator’s EIN |
061564928 |
Plan administrator’s name |
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. |
Plan administrator’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850 |
Administrator’s telephone number |
2038990744 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-02 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. 401(K) PENSION PLAN
|
2010
|
061564928
|
2011-08-01
|
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038990744
|
Plan sponsor’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850
|
Plan administrator’s name and address
Administrator’s EIN |
061564928 |
Plan administrator’s name |
FAIRFIELD COUNTY BARIATRICS AND SURGICAL SPECIALISTS, P.C. |
Plan administrator’s
address |
148 EAST AVE., #3-A, NORWALK, CT, 06850 |
Administrator’s telephone number |
2038990744 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-01 |
Name of individual signing |
CRAIG FLOCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|