INTEGRATED HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST
|
2015
|
061567963
|
2016-06-24
|
INTEGRATED HEALTHCARE SERVICES
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN ST 7TH FLOOR, STAMFORD, CT, 06901
|
Signature of
Role |
Plan administrator |
Date |
2016-06-24 |
Name of individual signing |
RONALD DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED HEALTHCARE SERVICES 401 K PROFIT SHARING PLAN TRUST
|
2014
|
061567963
|
2015-07-08
|
INTEGRATED HEALTHCARE SERVICES
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN ST 7TH FLOOR, STAMFORD, CT, 06901
|
Signature of
Role |
Plan administrator |
Date |
2015-07-08 |
Name of individual signing |
RONALD DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED HEALTH SERVICES, LLC RETIREMENT PLAN
|
2012
|
061567963
|
2013-09-23
|
INTEGRATED HEALTHCARE SERVICES, LLC
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-07-15
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901
|
Signature of
Role |
Plan administrator |
Date |
2013-09-23 |
Name of individual signing |
PAUL DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED HEALTH SERVICES, LLC RETIREMENT PLAN
|
2011
|
061567963
|
2012-10-04
|
INTEGRATED HEALTHCARE SERVICES, LLC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-07-15
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901
|
Plan administrator’s name and address
Administrator’s EIN |
061567963 |
Plan administrator’s name |
INTEGRATED HEALTHCARE SERVICES, LLC |
Plan administrator’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901 |
Administrator’s telephone number |
2034870880 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
PAUL DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
PAUL DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED HEALTH SERVICES, LLC RETIREMENT PLAN
|
2010
|
061567963
|
2011-04-29
|
INTEGRATED HEALTHCARE SERVICES, LLC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-07-15
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901
|
Plan administrator’s name and address
Administrator’s EIN |
061567963 |
Plan administrator’s name |
INTEGRATED HEALTHCARE SERVICES, LLC |
Plan administrator’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901 |
Administrator’s telephone number |
2034870880 |
Signature of
Role |
Plan administrator |
Date |
2011-04-29 |
Name of individual signing |
PAUL DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INTEGRATED HEALTH SERVICES, LLC RETIREMENT PLAN
|
2009
|
061567963
|
2010-08-04
|
INTEGRATED HEALTHCARE SERVICES, LLC
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-07-15
|
Business code |
541990
|
Sponsor’s telephone number |
2034870880
|
Plan sponsor’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901
|
Plan administrator’s name and address
Administrator’s EIN |
061567963 |
Plan administrator’s name |
INTEGRATED HEALTHCARE SERVICES, LLC |
Plan administrator’s
address |
300 MAIN STREET, SUITE 804, STAMFORD, CT, 06901 |
Administrator’s telephone number |
2034870880 |
Signature of
Role |
Plan administrator |
Date |
2010-08-04 |
Name of individual signing |
PAUL DRESKIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|