|
CHARTFILL, INC. 401(K) PLAN
|
2021
|
814858725
|
2022-07-31
|
CHARTFILL, INC.
|
15
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5857270889
|
| Plan
sponsor’s DBA name |
IPATIENTAXIS
|
| Plan sponsor’s
address |
2060 BRIGHTON HENRIETTA TOWNLINE RD, SUITE 120, ROCHESTER, NY, 14623
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-31 |
| Name of individual signing |
DANIELLE DESILVA |
|
|
|
CHARTFILL, INC. 401(K) PLAN
|
2020
|
814858725
|
2021-11-10
|
CHARTFILL, INC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5857270889
|
| Plan
sponsor’s DBA name |
IPATIENTAXIS
|
| Plan sponsor’s
address |
2060 BRIGHTON HENRIETTA TOWNLINE RD, SUITE 120, ROCHESTER, NY, 14623
|
Signature of
| Role |
Plan administrator |
| Date |
2021-11-10 |
| Name of individual signing |
DANIELLE DE SILVA |
|
|
|
CHARTFILL, INC. 401(K) PLAN
|
2019
|
814858725
|
2021-11-10
|
CHARTFILL, INC.
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5857270889
|
| Plan
sponsor’s DBA name |
IPATIENTAXIS
|
| Plan sponsor’s
address |
2060 BRIGHTON HENRIETTA TOWNLINE RD, STE 120, ROCHESTER, NY, 14623
|
Signature of
| Role |
Plan administrator |
| Date |
2021-11-10 |
| Name of individual signing |
DANIELLE DE SILVA |
|
|
|
CHARTFILL, INC. 401(K) PLAN
|
2019
|
814858725
|
2021-10-21
|
CHARTFILL, INC.
|
27
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5857270889
|
| Plan sponsor’s
address |
295 WOODCLIFF DR., SUITE 3C, FAIRPORT, NY, 14450
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-21 |
| Name of individual signing |
SANDRA WEHNER |
|
| Role |
Employer/plan sponsor |
| Date |
2021-10-21 |
| Name of individual signing |
SANDRA WEHNER |
|
|
|
CHARTFILL, INC. 401(K) PLAN
|
2019
|
814858725
|
2020-09-22
|
CHARTFILL, INC.
|
27
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5857270889
|
| Plan sponsor’s
address |
295 WOODCLIFF DR., SUITE 3C, FAIRPORT, NY, 14450
|
Signature of
| Role |
Plan administrator |
| Date |
2020-09-22 |
| Name of individual signing |
DANIELLE DESILVA |
|
| Role |
Employer/plan sponsor |
| Date |
2020-09-22 |
| Name of individual signing |
DANIELLE DESILVA |
|
|
