ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2016
|
201573095
|
2017-06-16
|
ELITE HEALTH SERVICES, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Signature of
Role |
Plan administrator |
Date |
2017-06-16 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-16 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2015
|
201573095
|
2016-07-27
|
ELITE HEALTH SERVICES, LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-27 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2014
|
201573095
|
2015-06-26
|
ELITE HEALTH SERVICES, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2013
|
201573095
|
2014-05-02
|
ELITE HEALTH SERVICES, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Signature of
Role |
Plan administrator |
Date |
2014-05-02 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-02 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2012
|
201573095
|
2013-09-09
|
ELITE HEALTH SERVICES, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-09 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES 401(K) PROFIT SHARING PLAN
|
2011
|
201573095
|
2012-09-14
|
ELITE HEALTH SERVICES, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870
|
Plan administrator’s name and address
Administrator’s EIN |
201573095 |
Plan administrator’s name |
ELITE HEALTH SERVICES, LLC |
Plan administrator’s
address |
1445 EAST PUTNAM AVENUE, 2ND FLOOR, OLD GREENWICH, CT, 06870 |
Administrator’s telephone number |
2039835748 |
Signature of
Role |
Plan administrator |
Date |
2012-09-14 |
Name of individual signing |
STEPHEN KURCZEWSKI, TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-14 |
Name of individual signing |
STEPHEN KURCZEWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES, INC. 401(K) PLAN
|
2010
|
201573095
|
2011-07-06
|
ELITE HEALTH SERVICES, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
1445 EAST PUTMAN AVENUE, 2ND FLOOR, OLD GREENWHICH, CT, 06870
|
Plan administrator’s name and address
Administrator’s EIN |
201573095 |
Plan administrator’s name |
ELITE HEALTH SERVICES, LLC |
Plan administrator’s
address |
1445 EAST PUTMAN AVENUE, 2ND FLOOR, OLD GREENWHICH, CT, 06870 |
Administrator’s telephone number |
2039835748 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
MARIANNE MUNDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ELITE HEALTH SERVICES, INC. 401(K) PLAN
|
2009
|
201573095
|
2010-10-01
|
ELITE HEALTH SERVICES, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-06-01
|
Business code |
621900
|
Sponsor’s telephone number |
2039835748
|
Plan sponsor’s
address |
76 VALLEY ROAD, COS COB, CT, 06807
|
Plan administrator’s name and address
Administrator’s EIN |
201573095 |
Plan administrator’s name |
ELITE HEALTH SERVICES, LLC |
Plan administrator’s
address |
76 VALLEY ROAD, COS COB, CT, 06807 |
Administrator’s telephone number |
2039835748 |
Signature of
Role |
Plan administrator |
Date |
2010-09-30 |
Name of individual signing |
MARIANNE MUNDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|