|
FOUR CORNERS REST HOME, INC. 401K PLAN
|
2022
|
060916484
|
2023-01-12
|
FOUR CORNERS REST HOME, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2038780177
|
| Plan sponsor’s
address |
306 NAUGATUCK AVE, MILFORD, CT, 06460
|
Signature of
| Role |
Plan administrator |
| Date |
2023-01-12 |
| Name of individual signing |
MARY HAGERTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOUR CORNERS REST HOME, INC. 401K PLAN
|
2021
|
060916484
|
2022-10-03
|
FOUR CORNERS REST HOME, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2038780177
|
| Plan sponsor’s
address |
306 NAUGATUCK AVE, MILFORD, CT, 06460
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-03 |
| Name of individual signing |
MARY HAGERTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOUR CORNERS REST HOME, INC. 401K PLAN
|
2020
|
060916484
|
2021-09-29
|
FOUR CORNERS REST HOME, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2038780177
|
| Plan sponsor’s
address |
306 NAUGATUCK AVE, MILFORD, CT, 06460
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-29 |
| Name of individual signing |
MARY HAGERTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOUR CORNERS REST HOME, INC. 401K PLAN
|
2019
|
060916484
|
2020-10-01
|
FOUR CORNERS REST HOME, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2038780177
|
| Plan sponsor’s
address |
306 NAUGATUCK AVE, MILFORD, CT, 06460
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-01 |
| Name of individual signing |
MARY HAGERTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOUR CORNERS REST HOME, INC. 401K PLAN
|
2018
|
060916484
|
2019-09-25
|
FOUR CORNERS REST HOME, INC.
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2038780177
|
| Plan sponsor’s
address |
306 NAUGATUCK AVE, MILFORD, CT, 06460
|
Signature of
| Role |
Plan administrator |
| Date |
2019-09-25 |
| Name of individual signing |
MARY HAGERTY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
