LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2023
|
204544575
|
2024-07-17
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2022
|
204544575
|
2023-07-12
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2023-07-12 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2022
|
204544575
|
2023-05-18
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2023-05-18 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2021
|
204544575
|
2022-05-16
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2022-05-16 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-16 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2021
|
204544575
|
2022-07-18
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2022-07-17 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2020
|
204544575
|
2021-06-04
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2021-06-04 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2020
|
204544575
|
2021-05-04
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2021-05-04 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-04 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS 401(K) PROFIT SHARING PLAN
|
2019
|
204544575
|
2020-06-02
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2020-06-02 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2019
|
204544575
|
2020-05-26
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2020-05-26 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFESPRING PEDIATRICS CASH BALANCE PLAN
|
2018
|
204544575
|
2019-10-04
|
LIFESPRING PEDIATRICS
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2018-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8604269440
|
Plan sponsor’s
address |
101 NORTH MAIN ST, SOUTHINGTON, CT, 06489
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
MAUREEN ONYIRIMBA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|