DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST
|
2013
|
050476096
|
2014-10-07
|
DAVID T. BARRALL, M.D., INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-11
|
Business code |
621111
|
Sponsor’s telephone number |
4012740700
|
Plan sponsor’s
address |
185 FERRY ROAD, SAUNDERSTOWN, RI, 02874
|
Plan administrator’s name and address
Administrator’s EIN |
050476096 |
Plan administrator’s name |
DAVID T. BARRALL, M.D., INC. |
Plan administrator’s
address |
185 FERRY ROAD, SAUNDERSTOWN, RI, 02874 |
Administrator’s telephone number |
4012740700 |
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
DAVID T. BARRALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST
|
2012
|
050476096
|
2013-09-25
|
DAVID T. BARRALL, M.D., INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-11
|
Business code |
621111
|
Sponsor’s telephone number |
4012740700
|
Plan sponsor’s
address |
185 FERRY ROAD, SAUNDERSTOWN, RI, 02874
|
Plan administrator’s name and address
Administrator’s EIN |
050476096 |
Plan administrator’s name |
DAVID T. BARRALL, M.D., INC. |
Plan administrator’s
address |
185 FERRY ROAD, SAUNDERSTOWN, RI, 02874 |
Administrator’s telephone number |
4012740700 |
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
DAVID T. BARRALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
050476096
|
2012-08-29
|
DAVID T. BARRALL, M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-11
|
Business code |
621111
|
Sponsor’s telephone number |
4012740700
|
Plan sponsor’s
address |
118 FERRY ROAD, SAUNDERSTOWN, RI, 02874
|
Plan administrator’s name and address
Administrator’s EIN |
050476096 |
Plan administrator’s name |
DAVID T. BARRALL, M.D., INC. |
Plan administrator’s
address |
118 FERRY ROAD, SAUNDERSTOWN, RI, 02874 |
Administrator’s telephone number |
4012740700 |
Signature of
Role |
Plan administrator |
Date |
2012-08-29 |
Name of individual signing |
DAVID T. BARRALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
050476096
|
2011-07-05
|
DAVID T. BARRALL, M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-11
|
Business code |
621111
|
Sponsor’s telephone number |
4012740700
|
Plan sponsor’s
address |
151 WATERMAN STREET, PROVIDENCE, RI, 029062118
|
Plan administrator’s name and address
Administrator’s EIN |
050476096 |
Plan administrator’s name |
DAVID T. BARRALL, M.D., INC. |
Plan administrator’s
address |
151 WATERMAN STREET, PROVIDENCE, RI, 029062118 |
Administrator’s telephone number |
4012740700 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
DAVID T. BARRALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID T. BARRALL, M.D., INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
050476096
|
2010-10-07
|
DAVID T. BARRALL, M.D., INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-04-11
|
Business code |
621111
|
Sponsor’s telephone number |
4012740700
|
Plan sponsor’s
address |
151 WATERMAN STREET, PROVIDENCE, RI, 029062118
|
Plan administrator’s name and address
Administrator’s EIN |
050476096 |
Plan administrator’s name |
DAVID T. BARRALL, M.D., INC. |
Plan administrator’s
address |
151 WATERMAN STREET, PROVIDENCE, RI, 029062118 |
Administrator’s telephone number |
4012740700 |
Signature of
Role |
Plan administrator |
Date |
2010-10-07 |
Name of individual signing |
DAVID T. BARRALL, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|