|
BRIARCLIFFE MANOR RETIREMENT PLAN
|
2013
|
050302286
|
2014-06-02
|
MEDICAL HOMES OF RHODE ISLAND, INC.
|
112
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-12-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
4019442450
|
| Plan sponsor’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-02 |
| Name of individual signing |
AKSHAY TALWAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIARCLIFFE MANOR RETIREMENT PLAN
|
2012
|
050302286
|
2013-06-27
|
MEDICAL HOMES OF RHODE ISLAND, INC.
|
109
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-12-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
4019442450
|
| Plan sponsor’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-27 |
| Name of individual signing |
AKSHAY TALWAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIARCLIFFE MANOR RETIREMENT PLAN
|
2011
|
050302286
|
2012-07-27
|
MEDICAL HOMES OF RHODE ISLAND, INC.
|
106
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-12-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
4019442450
|
| Plan sponsor’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
|
Plan administrator’s name and address
| Administrator’s EIN |
050302286 |
| Plan administrator’s name |
MEDICAL HOMES OF RHODE ISLAND, INC. |
| Plan administrator’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919 |
| Administrator’s telephone number |
4019442450 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-27 |
| Name of individual signing |
AKSHAY TALWAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIARCLIFFE MANOR RETIREMENT PLAN
|
2010
|
050302286
|
2011-07-25
|
MEDICAL HOMES OF RHODE ISLAND, INC.
|
102
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-12-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
4019442450
|
| Plan sponsor’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
|
Plan administrator’s name and address
| Administrator’s EIN |
050302286 |
| Plan administrator’s name |
MEDICAL HOMES OF RHODE ISLAND, INC. |
| Plan administrator’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919 |
| Administrator’s telephone number |
4019442450 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-25 |
| Name of individual signing |
AKSHAY TALWAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BRIARCLIFFE MANOR RETIREMENT PLAN
|
2009
|
050302286
|
2010-10-07
|
MEDICAL HOMES OF RHODE ISLAND, INC.
|
98
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1991-12-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
4019442450
|
| Plan sponsor’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919
|
Plan administrator’s name and address
| Administrator’s EIN |
050302286 |
| Plan administrator’s name |
MEDICAL HOMES OF RHODE ISLAND, INC. |
| Plan administrator’s
address |
49 OLD POCASSET ROAD, JOHNSTON, RI, 02919 |
| Administrator’s telephone number |
4019442450 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-07 |
| Name of individual signing |
AKSHAY K. TALWAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
