PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2017
|
591964612
|
2018-11-26
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Active participants |
166 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-11-26 |
Name of individual signing |
DONNA DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2016
|
591964612
|
2017-11-28
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-11-28 |
Name of individual signing |
DONNA DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2015
|
591964612
|
2016-11-01
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-11-01 |
Name of individual signing |
DONNA DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2014
|
591964612
|
2016-03-01
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Active participants |
116 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-03-01 |
Name of individual signing |
DONNA B. DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2013
|
591964612
|
2016-03-01
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Active participants |
129 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-03-01 |
Name of individual signing |
DONNA B. DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER COMMUNITY HEALTHCARE GROUP BENEFIT WELFARE PLAN
|
2013
|
591964612
|
2014-12-03
|
PREMIER COMMUNITY HEALTHCARE GROUP
|
107
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-05-01
|
Business code |
621498
|
Sponsor’s telephone number |
3525182000
|
Plan sponsor’s mailing address |
PO BOX 232, DADE CITY, FL, 33526
|
Plan sponsor’s
address |
PO BOX 232, DADE CITY, FL, 33526
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-11-26 |
Name of individual signing |
DONNA B. DELONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|