GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2016
|
061480818
|
2017-08-11
|
GERET A. DUBOIS, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017292241
|
Plan sponsor’s
address |
111 BREWSTER STREET, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2017-08-11 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2015
|
061480818
|
2016-03-26
|
GERET A. DUBOIS, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017292241
|
Plan sponsor’s
address |
111 BREWSTER STREET, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2016-03-26 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2014
|
061480818
|
2015-10-15
|
GERET A. DUBOIS, M.D., INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017292241
|
Plan sponsor’s
address |
111 BREWSTER STREET, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2013
|
061480818
|
2014-06-28
|
GERET A. DUBOIS, M.D., INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017292241
|
Plan sponsor’s
address |
111 BREWSTER STREET, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2014-06-28 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2012
|
061480818
|
2013-06-01
|
GERET A. DUBOIS, M.D., INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017238300
|
Plan sponsor’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860
|
Signature of
Role |
Plan administrator |
Date |
2013-06-01 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2011
|
061480818
|
2012-09-12
|
GERET A. DUBOIS, M.D., INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017238300
|
Plan sponsor’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
061480818 |
Plan administrator’s name |
GERET A. DUBOIS, M.D., INC. |
Plan administrator’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017238300 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2010
|
061480818
|
2011-06-21
|
GERET A. DUBOIS, M.D., INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017238300
|
Plan sponsor’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
061480818 |
Plan administrator’s name |
GERET A. DUBOIS, M.D., INC. |
Plan administrator’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017238300 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERET A. DUBOIS, M.D., INC. DEFINED BENEFIT PENSION PLAN
|
2009
|
061480818
|
2010-09-01
|
GERET A. DUBOIS, M.D., INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
4017238300
|
Plan sponsor’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860
|
Plan administrator’s name and address
Administrator’s EIN |
061480818 |
Plan administrator’s name |
GERET A. DUBOIS, M.D., INC. |
Plan administrator’s
address |
330 COTTAGE STREET, PAWTUCKET, RI, 02860 |
Administrator’s telephone number |
4017238300 |
Signature of
Role |
Plan administrator |
Date |
2010-09-01 |
Name of individual signing |
GERET DUBOIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|