DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2015
|
050475191
|
2016-01-21
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2014
|
050475191
|
2015-10-07
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
CAROLINE WILKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2014
|
050475191
|
2015-12-08
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Signature of
Role |
Plan administrator |
Date |
2015-12-08 |
Name of individual signing |
CAROLINE WILKEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2013
|
050475191
|
2014-04-15
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Signature of
Role |
Plan administrator |
Date |
2014-04-15 |
Name of individual signing |
DANIEL E. WROBLESKI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2012
|
050475191
|
2013-04-10
|
DANIEL E. WROBLESKI, M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Signature of
Role |
Plan administrator |
Date |
2013-04-10 |
Name of individual signing |
DANIEL E. WROBLESKI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2011
|
050475191
|
2012-05-18
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Plan administrator’s name and address
Administrator’s EIN |
050475191 |
Plan administrator’s name |
DANIEL E. WROBLESKI, M.D., LTD. |
Plan administrator’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904 |
Administrator’s telephone number |
4014210070 |
Signature of
Role |
Plan administrator |
Date |
2012-05-18 |
Name of individual signing |
DANIEL E. WROBLESKI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2010
|
050475191
|
2011-06-22
|
DANIEL E. WROBLESKI, M.D., LTD.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Plan administrator’s name and address
Administrator’s EIN |
050475191 |
Plan administrator’s name |
DANIEL E. WROBLESKI, M.D., LTD. |
Plan administrator’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904 |
Administrator’s telephone number |
4014210070 |
Signature of
Role |
Plan administrator |
Date |
2011-06-22 |
Name of individual signing |
DANIEL E. WROBLESKI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DANIEL E. WROBLESKI, M.D., LTD. 401(K) PROFIT SHARING PLAN
|
2009
|
050475191
|
2010-07-13
|
DANIEL E. WROBLESKI, M.D., LTD.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
4014210070
|
Plan sponsor’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904
|
Plan administrator’s name and address
Administrator’s EIN |
050475191 |
Plan administrator’s name |
DANIEL E. WROBLESKI, M.D., LTD. |
Plan administrator’s
address |
827 NORTH MAIN STREET, PROVIDENCE, RI, 02904 |
Administrator’s telephone number |
4014210070 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
DANIEL E. WROBLESKI, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|