|
FAIRFIELD COUNTY IMAGING, LLC 401(K) PLAN
|
2012
|
810663899
|
2013-04-26
|
FAIRFIELD COUNTY IMAGING, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034590770
|
| Plan sponsor’s
address |
6527 MAIN STREET, TRUMBULL, CT, 066111385
|
Plan administrator’s name and address
| Administrator’s EIN |
810663899 |
| Plan administrator’s name |
FAIRFIELD COUNTY IMAGING, LLC |
| Plan administrator’s
address |
6527 MAIN STREET, TRUMBULL, CT, 066111385 |
| Administrator’s telephone number |
2034590770 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-26 |
| Name of individual signing |
PETER L. STEENBERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD COUNTY IMAGING, LLC 401(K) PLAN
|
2011
|
810663899
|
2012-06-26
|
FAIRFIELD COUNTY IMAGING, LLC
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034590770
|
| Plan sponsor’s
address |
6527 MAIN STREET, TRUMBULL, CT, 066111385
|
Plan administrator’s name and address
| Administrator’s EIN |
810663899 |
| Plan administrator’s name |
FAIRFIELD COUNTY IMAGING, LLC |
| Plan administrator’s
address |
6527 MAIN STREET, TRUMBULL, CT, 066111385 |
| Administrator’s telephone number |
2034590770 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-26 |
| Name of individual signing |
PETER L. STEENBERGEN, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD COUNTY IMAGING, LLC 401(K) PLAN
|
2010
|
810663899
|
2011-09-26
|
FAIRFIELD COUNTY IMAGING, LLC
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034592442
|
| Plan sponsor’s
address |
115 TECHNOLOGY DRIVE - SUITE A100, TRUMBULL, CT, 066116341
|
Plan administrator’s name and address
| Administrator’s EIN |
810663899 |
| Plan administrator’s name |
FAIRFIELD COUNTY IMAGING, LLC |
| Plan administrator’s
address |
115 TECHNOLOGY DRIVE - SUITE A100, TRUMBULL, CT, 066116341 |
| Administrator’s telephone number |
2034592442 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-26 |
| Name of individual signing |
PETER L. STEENBERGEN, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-09-26 |
| Name of individual signing |
PETER L. STEENBERGEN, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRFIELD COUNTY IMAGING, LLC 401(K) PLAN
|
2009
|
810663899
|
2010-09-16
|
FAIRFIELD COUNTY IMAGING, LLC
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
2034592442
|
| Plan sponsor’s
address |
115 TECHNOLOGY DRIVE - SUITE A100, TRUMBULL, CT, 066116341
|
Plan administrator’s name and address
| Administrator’s EIN |
810663899 |
| Plan administrator’s name |
FAIRFIELD COUNTY IMAGING, LLC |
| Plan administrator’s
address |
115 TECHNOLOGY DRIVE - SUITE A100, TRUMBULL, CT, 066116341 |
| Administrator’s telephone number |
2034592442 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-16 |
| Name of individual signing |
PETER L. STEENBERGEN, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-16 |
| Name of individual signing |
PETER L. STEENBERGEN, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
