|
M. DAVID BEITLE, M. D. , INC. 401(K) PROFIT SHARING PLAN
|
2023
|
202059846
|
2024-10-10
|
M. DAVID BEITLE, M.D., INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4012741533
|
| Plan sponsor’s
address |
235 PLAIN STREET, SUITE 101A, PROVIDENCE, RI, 02905
|
|
|
M. DAVID BEITLE, M. D. , INC. PENSION PLAN
|
2023
|
202059846
|
2024-10-10
|
M. DAVID BEITLE, M.D., INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2011-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4012741533
|
| Plan sponsor’s
address |
235 PLAIN STREET, SUITE 101A, PROVIDENCE, RI, 02905
|
|
|
M. DAVID BEITLE, M.D., INC. 401(K) PROFIT SHARING PLAN
|
2010
|
202059846
|
2011-10-03
|
M. DAVID BEITLE, M.D., INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4012741533
|
| Plan sponsor’s
address |
695 EDDY STREET, PROVIDENCE, RI, 02903
|
Plan administrator’s name and address
| Administrator’s EIN |
202059846 |
| Plan administrator’s name |
M. DAVID BEITLE, M.D., INC. |
| Plan administrator’s
address |
695 EDDY STREET, PROVIDENCE, RI, 02903 |
| Administrator’s telephone number |
4012741533 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-03 |
| Name of individual signing |
M. DAVID BEITLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-03 |
| Name of individual signing |
M. DAVID BEITLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
M. DAVID BEITLE, M.D., INC. 401(K) PROFIT SHARING PLAN
|
2009
|
202059846
|
2010-10-06
|
M. DAVID BEITLE, M.D., INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
4012741533
|
| Plan sponsor’s
address |
695 EDDY STREET, EAST PROVIDENCE, RI, 02903
|
Plan administrator’s name and address
| Administrator’s EIN |
202059846 |
| Plan administrator’s name |
M. DAVID BEITLE, M.D., INC. |
| Plan administrator’s
address |
695 EDDY STREET, EAST PROVIDENCE, RI, 02903 |
| Administrator’s telephone number |
4012741533 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-06 |
| Name of individual signing |
M. DAVID BEITLE, M.D. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
