FOREMOST REHAB LLC 401K PLAN & TRUST
|
2015
|
200213991
|
2016-07-11
|
FOREMOST REHAB, LLC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVENUE, SUITE 101, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2014
|
200213991
|
2015-10-08
|
FOREMOST REHAB, LLC
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-08 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2013
|
200213991
|
2014-10-09
|
FOREMOST REHAB, LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2012
|
200213991
|
2013-10-11
|
FOREMOST REHAB, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-11 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2011
|
200213991
|
2012-10-05
|
FOREMOST REHAB, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
Administrator’s EIN |
200213991 |
Plan administrator’s name |
FOREMOST REHAB, LLC |
Plan administrator’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410 |
Administrator’s telephone number |
2032719288 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2010
|
200213991
|
2011-10-14
|
FOREMOST REHAB, LLC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
Administrator’s EIN |
200213991 |
Plan administrator’s name |
FOREMOST REHAB, LLC |
Plan administrator’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410 |
Administrator’s telephone number |
2032719288 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2009
|
200213991
|
2011-10-14
|
FOREMOST REHAB, LLC
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
Administrator’s EIN |
200213991 |
Plan administrator’s name |
FOREMOST REHAB, LLC |
Plan administrator’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410 |
Administrator’s telephone number |
2032719288 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOREMOST REHAB, LLC 401(K) PLAN & TRUST
|
2009
|
200213991
|
2010-09-30
|
FOREMOST REHAB, LLC
|
32
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2032719288
|
Plan sponsor’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
Administrator’s EIN |
200213991 |
Plan administrator’s name |
FOREMOST REHAB, LLC |
Plan administrator’s
address |
1157 HIGHLAND AVE., SUITE 101, CHESHIRE, CT, 06410 |
Administrator’s telephone number |
2032719288 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
TOM VANTY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|