|
ENFIELD DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
061577992
|
2013-05-31
|
ENFIELD DERMATOLOGY, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
8607497437
|
| Plan sponsor’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082
|
Signature of
| Role |
Plan administrator |
| Date |
2013-05-31 |
| Name of individual signing |
SHARON CHRISTIE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENFIELD DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
061577992
|
2012-09-01
|
ENFIELD DERMATOLOGY, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
8607497437
|
| Plan sponsor’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061577992 |
| Plan administrator’s name |
ENFIELD DERMATOLOGY, LLC |
| Plan administrator’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
8607497437 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-01 |
| Name of individual signing |
SHARON CHRISTIE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENFIELD DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
061577992
|
2011-10-27
|
ENFIELD DERMATOLOGY, LLC
|
13
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
8607497437
|
| Plan sponsor’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061577992 |
| Plan administrator’s name |
ENFIELD DERMATOLOGY, LLC |
| Plan administrator’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
8607497437 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-27 |
| Name of individual signing |
SHARON CHRISTIE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENFIELD DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
061577992
|
2011-10-28
|
ENFIELD DERMATOLOGY, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
8607497437
|
| Plan sponsor’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061577992 |
| Plan administrator’s name |
ENFIELD DERMATOLOGY, LLC |
| Plan administrator’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
8607497437 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-28 |
| Name of individual signing |
SHARON CHRISTIE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ENFIELD DERMATOLOGY, LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
061577992
|
2010-10-14
|
ENFIELD DERMATOLOGY, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
621399
|
| Sponsor’s telephone number |
8607497437
|
| Plan sponsor’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082
|
Plan administrator’s name and address
| Administrator’s EIN |
061577992 |
| Plan administrator’s name |
ENFIELD DERMATOLOGY, LLC |
| Plan administrator’s
address |
146 HAZARD AVENUE, ENFIELD, CT, 06082 |
| Administrator’s telephone number |
8607497437 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
SHARON CHRISTIE, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
