THE CENTER FOR DRUG FREE LIVING, INC. EMPLOYEE HEALTH BENEFIT PLAN
|
2010
|
591532941
|
2012-04-17
|
THE CENTER FOR DRUG FREE LIVING, INC.
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-08-01
|
Business code |
621420
|
Sponsor’s telephone number |
4072450010
|
Plan sponsor’s mailing address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan sponsor’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan administrator’s name and address
Administrator’s EIN |
591532941 |
Plan administrator’s name |
THE CENTER FOR DRUG FREE LIVING, INC. |
Plan administrator’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4072450010 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-04-17 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-17 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CENTER FOR DRUG FREE LIVING RETIREMENT PLAN
|
2009
|
591532941
|
2011-04-18
|
THE CENTER FOR DRUG FREE LIVING, INC.
|
924
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
4072450045
|
Plan sponsor’s mailing address |
3670 MAGUIRE BLVD, SUITE 200, ORLANDO, FL, 32803
|
Plan sponsor’s
address |
3670 MAGUIRE BLVD, SUITE 200, ORLANDO, FL, 32803
|
Plan administrator’s name and address
Administrator’s EIN |
591532941 |
Plan administrator’s name |
THE CENTER FOR DRUG FREE LIVING, INC. |
Plan administrator’s
address |
3670 MAGUIRE BLVD, SUITE 200, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4072450045 |
Number of participants as of the end of the plan year
Active participants |
590 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
420 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
833 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
24 |
Signature of
Role |
Plan administrator |
Date |
2011-04-18 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-18 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CENTER FOR DRUG FREE LIVING, INC. GROUP LIFE TEMPORARY DISABILITY & LONG-TERM DISABILITY
|
2009
|
591532941
|
2011-04-15
|
THE CENTER FOR DRUG FREE LIVING, INC.
|
445
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1986-04-01
|
Business code |
621420
|
Sponsor’s telephone number |
4072450010
|
Plan sponsor’s mailing address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan sponsor’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan administrator’s name and address
Administrator’s EIN |
591532941 |
Plan administrator’s name |
THE CENTER FOR DRUG FREE LIVING, INC. |
Plan administrator’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4072450010 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CENTER FOR DRUG FREE LIVING, INC. EMPLOYEE HEALTH BENEFIT PLAN
|
2009
|
591532941
|
2011-04-15
|
THE CENTER FOR DRUG FREE LIVING, INC.
|
310
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1990-08-01
|
Business code |
621420
|
Sponsor’s telephone number |
4072450010
|
Plan sponsor’s mailing address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan sponsor’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan administrator’s name and address
Administrator’s EIN |
591532941 |
Plan administrator’s name |
THE CENTER FOR DRUG FREE LIVING, INC. |
Plan administrator’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4072450010 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CENTER FOR DRUG FREE LIVING, INC. DENTAL PLAN
|
2009
|
591532941
|
2011-04-15
|
THE CENTER FOR DRUG FREE LIVING, INC.
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1989-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
4072450010
|
Plan sponsor’s mailing address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan sponsor’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803
|
Plan administrator’s name and address
Administrator’s EIN |
591532941 |
Plan administrator’s name |
THE CENTER FOR DRUG FREE LIVING, INC. |
Plan administrator’s
address |
3670 MAGUIRE BLVD STE 200, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4072450010 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-15 |
Name of individual signing |
ERIC HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|