LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2014
|
061603764
|
2015-10-13
|
LEONARD C. GLASER, M.D.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2013
|
061603764
|
2015-10-14
|
LEONARD C. GLASER, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2013
|
061603764
|
2014-10-15
|
LEONARD C. GLASER, M.D.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-15 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2012
|
061603764
|
2013-10-08
|
LEONARD C. GLASER, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-08 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2011
|
061603764
|
2012-09-14
|
LEONARD C. GLASER, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061603764 |
Plan administrator’s name |
LEONARD C. GLASER, M.D. |
Plan administrator’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606218361 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
LEONARD C GLASER M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-14 |
Name of individual signing |
LEONARD C GLASER M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2010
|
061603764
|
2011-10-14
|
LEONARD C. GLASER, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061603764 |
Plan administrator’s name |
LEONARD C. GLASER, M.D. |
Plan administrator’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606218361 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
LEONARD C. GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
LEONARD C. GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LEONARD C. GLASER, M.D. 401(K) PROFIT SHARING PLAN
|
2009
|
061603764
|
2010-10-14
|
LEONARD C. GLASER, M.D.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621210
|
Sponsor’s telephone number |
8606218361
|
Plan sponsor’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061603764 |
Plan administrator’s name |
LEONARD C. GLASER, M.D. |
Plan administrator’s
address |
360 N. MAIN STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606218361 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
LEONARD GLASER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|