|
PINNACLE BEHAVIORAL HEALTH 401(K) P/S PLAN
|
2023
|
830952745
|
2024-06-14
|
PINNACLE BEHAVIORAL HEALTH
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
8609373875
|
| Plan sponsor’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-14 |
| Name of individual signing |
LISA KARABELNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINNACLE BEHAVIORAL HEALTH 401(K) P/S PLAN
|
2022
|
830952745
|
2023-04-24
|
PINNACLE BEHAVIORAL HEALTH
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
8609373875
|
| Plan sponsor’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117
|
Plan administrator’s name and address
| Administrator’s EIN |
830952745 |
| Plan administrator’s name |
PINNACLE BEHAVIORAL HEALTH |
| Plan administrator’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number |
8609373875 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-24 |
| Name of individual signing |
LISA KARABELNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINNACLE BEHAVIORAL HEALTH 401(K) P/S PLAN
|
2022
|
830952745
|
2023-03-17
|
PINNACLE BEHAVIORAL HEALTH
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
8609373875
|
| Plan sponsor’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117
|
Plan administrator’s name and address
| Administrator’s EIN |
830952745 |
| Plan administrator’s name |
PINNACLE BEHAVIORAL HEALTH |
| Plan administrator’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number |
8609373875 |
Signature of
| Role |
Plan administrator |
| Date |
2023-03-17 |
| Name of individual signing |
LISA KARABELNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINNACLE BEHAVIORAL HEALTH 401(K) P/S PLAN
|
2021
|
830952745
|
2022-07-07
|
PINNACLE BEHAVIORAL HEALTH
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
8609373875
|
| Plan sponsor’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117
|
Plan administrator’s name and address
| Administrator’s EIN |
830952745 |
| Plan administrator’s name |
PINNACLE BEHAVIORAL HEALTH |
| Plan administrator’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number |
8609373875 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-07 |
| Name of individual signing |
LISA KARABELNICK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PINNACLE BEHAVIORAL HEALTH 401(K) P/S PLAN
|
2020
|
830952745
|
2021-06-17
|
PINNACLE BEHAVIORAL HEALTH
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
8609373875
|
| Plan sponsor’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117
|
Plan administrator’s name and address
| Administrator’s EIN |
830952745 |
| Plan administrator’s name |
PINNACLE BEHAVIORAL HEALTH |
| Plan administrator’s
address |
345 N MAIN ST STE 317, WEST HARTFORD, CT, 06117 |
| Administrator’s telephone number |
8609373875 |
Signature of
| Role |
Plan administrator |
| Date |
2021-06-17 |
| Name of individual signing |
LISA KARABELNIK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
