PARTNERS HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
522441393
|
2014-07-31
|
PARTNERS HOME CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8632929060
|
Plan sponsor’s
address |
1134 1ST ST S STE A, WINTER HAVEN, FL, 338803921
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
KIMBERLY CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
KIMBERLY CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARTNERS HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
522441393
|
2014-07-31
|
PARTNERS HOME CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8632929060
|
Plan sponsor’s
address |
1134 1ST ST S STE A, WINTER HAVEN, FL, 338803921
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
KIMBERLY CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
KIMBERLY CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARTNERS HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
522441393
|
2013-07-26
|
PARTNERS HOME CARE LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8632929060
|
Plan sponsor’s
address |
1134 1ST ST S STE A, WINTER HAVEN, FL, 338803921
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
PARTNERS HOME CARE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARTNERS HOME CARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
522441393
|
2012-06-12
|
PARTNERS HOME CARE LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8632929060
|
Plan sponsor’s
address |
1134 1ST ST S STE A, WINTER HAVEN, FL, 338803921
|
Plan administrator’s name and address
Administrator’s EIN |
522441393 |
Plan administrator’s name |
PARTNERS HOME CARE LLC |
Plan administrator’s
address |
1134 1ST ST S STE A, WINTER HAVEN, FL, 338803921 |
Administrator’s telephone number |
8632929060 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
PARTNERS HOME CARE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PARTNERS HOME CARE RETIREMENT PLAN
|
2009
|
522441393
|
2010-05-10
|
PARTNERS HOME CARE, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8632929060
|
Plan sponsor’s
address |
1134A 1ST STREET SOUTH, WINTER HAVEN, FL, 338803921
|
Plan administrator’s name and address
Administrator’s EIN |
522441393 |
Plan administrator’s name |
PARTNERS HOME CARE, LLC |
Plan administrator’s
address |
1134A 1ST STREET SOUTH, WINTER HAVEN, FL, 338803921 |
Administrator’s telephone number |
8632929060 |
Signature of
Role |
Plan administrator |
Date |
2010-05-10 |
Name of individual signing |
KIM CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-10 |
Name of individual signing |
KIM CONRAD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|