PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2015
|
205895285
|
2016-02-09
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Signature of
Role |
Plan administrator |
Date |
2016-02-09 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2014
|
205895285
|
2015-03-23
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Signature of
Role |
Plan administrator |
Date |
2015-03-20 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-20 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2013
|
205895285
|
2014-08-25
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Signature of
Role |
Plan administrator |
Date |
2014-08-24 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-24 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
205895285
|
2013-05-22
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
205895285
|
2012-09-25
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Plan administrator’s name and address
Administrator’s EIN |
205895285 |
Plan administrator’s name |
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
Plan administrator’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810 |
Administrator’s telephone number |
2037437246 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
205895285
|
2011-08-25
|
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-04-01
|
Business code |
621111
|
Sponsor’s telephone number |
2037437246
|
Plan sponsor’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810
|
Plan administrator’s name and address
Administrator’s EIN |
205895285 |
Plan administrator’s name |
PAIN & SPINE SPECIALISTS OF CONNECTICUT, LLC |
Plan administrator’s
address |
67 SANDPIT ROAD, SUITE 308, DANBURY, CT, 06810 |
Administrator’s telephone number |
2037437246 |
Signature of
Role |
Plan administrator |
Date |
2011-08-25 |
Name of individual signing |
DAVID LEVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|