CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2022
|
342017365
|
2023-11-28
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2023-11-28 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-11-28 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2022
|
342017365
|
2023-10-02
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2023-10-02 |
Name of individual signing |
LEIGH ANN CULLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2021
|
342017365
|
2022-10-11
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
LEIGH ANN CULLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2020
|
342017365
|
2021-10-15
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2019
|
342017365
|
2020-10-13
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2020-10-13 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2018
|
342017365
|
2019-10-14
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2017
|
342017365
|
2018-10-11
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2016
|
342017365
|
2017-05-10
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2017-05-10 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONNECTICUT BEHAVIORAL HEALTH, LLC 401(K) RETIREMENT PLAN
|
2015
|
342017365
|
2016-10-06
|
CONNECTICUT BEHAVIORAL HEALTH, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
2032711430
|
Plan sponsor’s
address |
673 SOUTH MAIN STREET, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2016-10-06 |
Name of individual signing |
JONATHAN PEDRO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|