JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2016
|
050391226
|
2017-04-06
|
JEFFREY H. DROGIN, M.D., INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4017420915
|
Plan sponsor’s
address |
15 TERRACE DRIVE, BARRINGTON, RI, 028064331
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2015
|
050391226
|
2016-10-05
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JEFFREY H. DROGIN, M.D., INC.
|
3
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|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4012477606
|
Plan sponsor’s
address |
15 TERRACE DRIVE, BARRINGTON, RI, 028064331
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2014
|
050391226
|
2015-07-10
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JEFFREY H. DROGIN, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, METACOMET EXECUTIVE PARK, EAST PROVIDENCE, RI, 029145369
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
JEFFREY H. DROGIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2013
|
050391226
|
2014-09-12
|
JEFFREY H. DROGIN, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, METACOMET EXECUTIVE PARK, EAST PROVIDENCE, RI, 029145369
|
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
JEFFREY H. DROGIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2012
|
050391226
|
2013-07-10
|
JEFFREY H. DROGIN, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, METACOMET EXECUTIVE PARK, EAST PROVIDENCE, RI, 029145369
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
JEFFREY H. DROGIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2011
|
050391226
|
2012-11-08
|
JEFFREY H. DROGIN, M.D., INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, METACOMET EXECUTIVE PARK, EAST PROVIDENCE, RI, 029145369
|
Plan administrator’s name and address
Administrator’s EIN |
050391226 |
Plan administrator’s name |
JEFFREY H. DROGIN, M.D., INC. |
Plan administrator’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, METACOMET EXECUTIVE PARK, EAST PROVIDENCE, RI, 029145369 |
Administrator’s telephone number |
4014345050 |
Signature of
Role |
Plan administrator |
Date |
2012-11-08 |
Name of individual signing |
JEFFREY H. DROGIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2010
|
050391226
|
2011-11-22
|
JEFFREY H. DROGIN, M.D., INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, EAST PROVIDENCE, RI, 029145369
|
Plan administrator’s name and address
Administrator’s EIN |
050391226 |
Plan administrator’s name |
JEFFREY H. DROGIN, M.D., INC. |
Plan administrator’s
address |
450 VETERANS MEMORIAL PARKWAY, SUITE 102, EAST PROVIDENCE, RI, 029145369 |
Administrator’s telephone number |
4014345050 |
Signature of
Role |
Plan administrator |
Date |
2011-11-22 |
Name of individual signing |
JEFFREY H. DROGIN, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFREY H. DROGIN, M.D., INC. PROFIT-SHARING PLAN
|
2009
|
050391226
|
2011-01-27
|
JEFFREY H. DROGIN, M.D., INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1981-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014345050
|
Plan sponsor’s
address |
450 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050391226 |
Plan administrator’s name |
JEFFREY H. DROGIN, M.D., INC. |
Plan administrator’s
address |
450 VETERANS MEMORIAL PARKWAY, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4014345050 |
Signature of
Role |
Plan administrator |
Date |
2011-01-27 |
Name of individual signing |
CAROL LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|