LIBERTY HEALTHCARE GROUP, INC., HEALTH & WELFARE PLAN
|
2011
|
861056555
|
2012-12-03
|
LIBERTY HEALTHCARE GROUP, INC.
|
2532
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985875
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC. |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952 |
Administrator’s telephone number |
7723985875 |
Number of participants as of the end of the plan year
Active participants |
2310 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-11-30 |
Name of individual signing |
DORIE RAMEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTY HEALTHCARE GROUP, INC., HEALTH & WELFARE PLAN
|
2011
|
861056555
|
2012-08-07
|
LIBERTY HEALTHCARE GROUP, INC.
|
2532
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985875
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC. |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34952 |
Administrator’s telephone number |
7723985875 |
Number of participants as of the end of the plan year
Active participants |
2310 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-08-07 |
Name of individual signing |
DORIE RAMEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTY HEALTHCARE GROUP, INC. HEALTH AND WELFARE PLAN
|
2010
|
861056555
|
2011-09-21
|
LIBERTY HEALTHCARE GROUP, INC
|
2569
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985875
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951 |
Administrator’s telephone number |
7723985875 |
Number of participants as of the end of the plan year
Active participants |
2527 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
BRUCE LASKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTY HEALTHCARE GROUP, INC. HEALTH AND WELFARE PLAN
|
2009
|
861056555
|
2011-09-21
|
LIBERTY HEALTHCARE GROUP, INC.
|
2277
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985875
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC. |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951 |
Administrator’s telephone number |
7723985875 |
Number of participants as of the end of the plan year
Active participants |
2295 |
Retired or separated participants receiving
benefits |
31 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
BRUCE LASKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTY HEALTHCARE GROUP, INC. HEALTH AND WELFARE PLAN
|
2009
|
861056555
|
2011-09-21
|
LIBERTY HEALTHCARE GROUP, INC.
|
2326
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985875
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC. |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT SAINT LUCIE, FL, 34951 |
Administrator’s telephone number |
7723985875 |
Number of participants as of the end of the plan year
Active participants |
2170 |
Retired or separated participants receiving
benefits |
25 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
BRUCE LASKO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTY HEALTHCARE GROUP, INC. HEALTH AND WELFARE PLAN
|
2009
|
861056555
|
2010-10-12
|
LIBERTY HEALTHCARE GROUP, INC.
|
2112
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-12-01
|
Business code |
339110
|
Sponsor’s telephone number |
7723985852
|
Plan sponsor’s mailing address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951
|
Plan sponsor’s
address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951
|
Plan administrator’s name and address
Administrator’s EIN |
861056555 |
Plan administrator’s name |
LIBERTY HEALTHCARE GROUP, INC. |
Plan administrator’s
address |
10045 S FEDERAL HWY, PORT ST LUCIE, FL, 34951 |
Administrator’s telephone number |
7723985852 |
Number of participants as of the end of the plan year
Active participants |
2548 |
Retired or separated participants receiving
benefits |
21 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
PETER GAYLORD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|