CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2020
|
060935171
|
2021-09-17
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 06066
|
Signature of
Role |
Plan administrator |
Date |
2021-09-17 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-17 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2019
|
060935171
|
2021-02-25
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2021-02-25 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2018
|
060935171
|
2020-01-22
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2020-01-22 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2017
|
060935171
|
2019-07-11
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2019-07-11 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2016
|
060935171
|
2018-06-29
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2018-06-29 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2015
|
060935171
|
2017-02-03
|
CHAR-LAINE MANOR, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2017-02-03 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2014
|
060935171
|
2016-07-13
|
CHAR-LAINE MANOR, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2013
|
060935171
|
2015-02-20
|
CHAR-LAINE MANOR, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, P.O. BOX 445, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2015-02-20 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2012
|
060935171
|
2014-07-11
|
CHAR-LAINE MANOR, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, ROCKVILLE, CT, 060660445
|
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
CHERYL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAR-LAINE MANOR, INC. PROFIT SHARING PLAN
|
2011
|
060935171
|
2013-02-08
|
CHAR-LAINE MANOR, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8608724672
|
Plan sponsor’s
address |
15 ELLINGTON AVENUE, ROCKVILLE, CT, 060660445
|
Plan administrator’s name and address
Administrator’s EIN |
060935171 |
Plan administrator’s name |
CHAR-LAINE MANOR, INC. |
Plan administrator’s
address |
15 ELLINGTON AVENUE, ROCKVILLE, CT, 060660445 |
Administrator’s telephone number |
8608724672 |
Signature of
Role |
Plan administrator |
Date |
2013-02-08 |
Name of individual signing |
RUSSELL DENCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|