TAYLOR FOUNDATION SERVICES, INC. RETIREMENT PLAN
|
2023
|
592681152
|
2024-09-03
|
FANNIE E. TAYLOR HOME FOR THE AGED, INC.
|
174
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 322172208
|
Signature of
Role |
Plan administrator |
Date |
2024-09-03 |
Name of individual signing |
RETHA POTGIETER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-03 |
Name of individual signing |
RETHA POTGIETER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAYLOR FOUNDATION SERVICES INC BENEFITS PLAN
|
2020
|
592681152
|
2022-01-07
|
FANNIE E TAYLOR HOME FOR THE AGED, INC
|
170
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s mailing address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
107 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
65 |
Signature of
Role |
Plan administrator |
Date |
2022-01-07 |
Name of individual signing |
DEBORAH HOECKELBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAYLOR FOUNDATION SERVICES INC BENEFITS PLAN
|
2019
|
592681152
|
2021-01-21
|
FANNIE E TAYLOR HOME FOR THE AGED, INC
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s mailing address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
12 |
Signature of
Role |
Plan administrator |
Date |
2021-01-21 |
Name of individual signing |
SHANNON DENSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAYLOR FOUNDATION SERVICES INC BENEFITS PLAN
|
2018
|
591357353
|
2020-01-15
|
FANNIE E TAYLOR HOME FOR THE AGED, INC
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s mailing address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
173 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2020-01-15 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-15 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAYLOR FOUNDATION SERVICES INC BENEFITS PLAN
|
2017
|
591357353
|
2018-12-18
|
FANNIE E TAYLOR HOME FOR THE AGED, INC
|
199
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s mailing address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
188 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-12-17 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-12-17 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAYLOR FOUNDATION SERVICES INC BENEFITS PLAN
|
2016
|
591357353
|
2018-01-05
|
FANNIE E TAYLOR HOME FOR THE AGED, INC
|
231
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-06-01
|
Business code |
623000
|
Sponsor’s telephone number |
9046360313
|
Plan sponsor’s mailing address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Plan sponsor’s
address |
6601 CHESTER AVE, JACKSONVILLE, FL, 32217
|
Number of participants as of the end of the plan year
Active participants |
193 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-01-05 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-05 |
Name of individual signing |
DOUGLAS GRIEB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|