PEDIATRIC PULMONOLOGY, LLC PENSION PLAN
|
2011
|
510469168
|
2012-10-15
|
PEDIATRIC PULMONOLOGY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032765949
|
Plan sponsor’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY, 32 STRAWBERRY HILL COURT, #11, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
510469168 |
Plan administrator’s name |
PEDIATRIC PULMONOLOGY, LLC |
Plan administrator’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY, 32 STRAWBERRY HILL COURT, #11, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2032765949 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC PULMONOLOGY, LLC PENSION PLAN
|
2010
|
510469168
|
2011-10-26
|
PEDIATRIC PULMONOLOGY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032765949
|
Plan sponsor’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY HILL COURT, #11, STAMFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
510469168 |
Plan administrator’s name |
PEDIATRIC PULMONOLOGY, LLC |
Plan administrator’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY HILL COURT, #11, STAMFORD, CT, 06902 |
Administrator’s telephone number |
2032765949 |
Signature of
Role |
Plan administrator |
Date |
2011-10-26 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-26 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDIATRIC PULMONOLOGY, LLC PENSION PLAN
|
2009
|
510469168
|
2010-10-14
|
PEDIATRIC PULMONOLOGY, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
2032765949
|
Plan sponsor’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY HILL COURT, #411, STANFORD, CT, 06902
|
Plan administrator’s name and address
Administrator’s EIN |
510469168 |
Plan administrator’s name |
PEDIATRIC PULMONOLOGY, LLC |
Plan administrator’s
address |
TULLY HEALTH CENTER, 32 STRAWBERRY HILL COURT, #411, STANFORD, CT, 06902 |
Administrator’s telephone number |
2032765949 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
HOSSEIN SADEGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|