ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2020
|
061604721
|
2021-08-03
|
ELMER L. VALIN, M.D.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
19 NETTLETON DRIVE, WOODBRIDGE, CT, 06525
|
Signature of
Role |
Plan administrator |
Date |
2021-08-03 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-03 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2020
|
061604721
|
2021-08-03
|
ELMER L. VALIN, M.D.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
19 NETTLETON DRIVE, WOODBRIDGE, CT, 06525
|
Signature of
Role |
Plan administrator |
Date |
2021-08-03 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2019
|
061604721
|
2020-07-07
|
ELMER L. VALIN, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
19 NETTLETON DRIVE, WOODBRIDGE, CT, 06525
|
Signature of
Role |
Plan administrator |
Date |
2020-07-07 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2018
|
061604721
|
2019-07-01
|
ELMER L. VALIN, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
19 NETTLETON DRIVE, WOODBRIDGE, CT, 06525
|
Signature of
Role |
Plan administrator |
Date |
2019-07-01 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-01 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2017
|
061604721
|
2018-07-25
|
ELMER L. VALIN, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
19 NETTLETON DRIVE, WOODBRIDGE, CT, 06525
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
ELMER VALIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M. D. PROFIT SHARING PLAN
|
2016
|
061604721
|
2017-09-26
|
ELMER L. VALIN, M.D.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 111, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2017-09-26 |
Name of individual signing |
ELMER VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-26 |
Name of individual signing |
ELMER L. VALIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M.D. PROFIT SHARING PLAN
|
2015
|
061604721
|
2016-09-27
|
ELMER L. VALIN, M.D.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 111, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
CECILIA Q. ROGAYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
ELMER VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M.D. PROFIT SHARING PLAN
|
2014
|
061604721
|
2015-07-28
|
ELMER L. VALIN, M.D., LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 111, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
CECILIA Q. ROGAYAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
ELMER VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M.D. PROFIT SHARING PLAN
|
2013
|
061604721
|
2014-10-03
|
ELMER L. VALIN, M.D., LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 111, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2014-10-03 |
Name of individual signing |
ELMER L. VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELMER L. VALIN, M.D. PROFIT SHARING PLAN
|
2012
|
061604721
|
2013-09-26
|
ELMER L. VALIN, M.D., LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2038675518
|
Plan sponsor’s
address |
330 ORCHARD STREET, SUITE 111, NEW HAVEN, CT, 06511
|
Signature of
Role |
Plan administrator |
Date |
2013-09-26 |
Name of individual signing |
ELMER L. VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-26 |
Name of individual signing |
ELMER L. VALIN, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|