|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC CASH BALANCE PLAN
|
2023
|
061546512
|
2024-10-15
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-15 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC 401(K) PROFIT SHARING PLAN
|
2023
|
061546512
|
2024-10-15
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-15 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC 401(K) PROFIT SHARING PLAN
|
2022
|
061546512
|
2023-10-10
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-10 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC CASH BALANCE PLAN
|
2022
|
061546512
|
2023-10-10
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-10 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN LLC CASH BALANCE PLAN
|
2021
|
061546512
|
2022-10-11
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-10-11 |
| Name of individual signing |
NKEMAKONAM IKEKPEAZU,MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC 401(K) PROFIT SHARING PLAN
|
2021
|
061546512
|
2022-10-11
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-11 |
| Name of individual signing |
IKEKPEAZU NKEMAKONAM, MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-10-11 |
| Name of individual signing |
NKEMAKONAM IKEKPEAZU,MD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN 401(K) PLAN
|
2020
|
065164312
|
2021-10-13
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039968323
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
NKEMAKONAM IKEKPEAZU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SURGICAL ASSOCIATES OF WEST HAVEN LLC CASH BALANCE PLAN
|
2020
|
061546512
|
2021-10-12
|
SURGICAL ASSOCIATES OF WEST HAVEN, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2020-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2039378778
|
| Plan sponsor’s
address |
764 CAMPBELL AVENUE, WEST HAVEN, CT, 06516
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-12 |
| Name of individual signing |
NKEM IKEKPEAZU |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
