GERICARE, LLC 401K PLAN
|
2015
|
263836135
|
2016-05-23
|
GERICARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2039107533
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Signature of
Role |
Plan administrator |
Date |
2016-05-23 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-23 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERICARE, LLC 401K PLAN
|
2014
|
263836135
|
2016-05-09
|
GERICARE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2036334560
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Signature of
Role |
Plan administrator |
Date |
2016-05-09 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERICARE, LLC 401K PLAN
|
2013
|
263836135
|
2014-07-28
|
GERICARE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2036334560
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERICARE, LLC 401K PLAN
|
2012
|
263836135
|
2013-07-29
|
GERICARE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2036334560
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERICARE, LLC 401K PLAN
|
2011
|
263836135
|
2012-07-10
|
GERICARE, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2036334560
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Plan administrator’s name and address
Administrator’s EIN |
263836135 |
Plan administrator’s name |
GERICARE, LLC |
Plan administrator’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716 |
Administrator’s telephone number |
2036334560 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
JONATHAN BRENES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GERICARE, LLC 401K PLAN
|
2010
|
263836135
|
2011-06-23
|
GERICARE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
2036334560
|
Plan sponsor’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716
|
Plan administrator’s name and address
Administrator’s EIN |
263836135 |
Plan administrator’s name |
GERICARE, LLC |
Plan administrator’s
address |
464 WOLCOTT RD., WOLCOTT, CT, 06716 |
Administrator’s telephone number |
2036334560 |
Signature of
Role |
Plan administrator |
Date |
2011-06-23 |
Name of individual signing |
RAY PETRUCCELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|