|
HOMETOWN HOMECARE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2013
|
841646288
|
2014-09-22
|
HOMETOWN HOMECARE LLC
|
80
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2011-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
8634013550
|
| Plan sponsor’s
address |
811 E. MAIN STREET, LAKELAND, FL, 338015126
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-22 |
| Name of individual signing |
LATISHA POTTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOMETOWN HOMECARE LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
841646288
|
2011-07-29
|
HOMETOWN HOMECARE LLC
|
65
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
8634013550
|
| Plan sponsor’s
address |
250 MAGNOLIA AVE SW STE 300, WINTER HAVEN, FL, 338800000
|
Plan administrator’s name and address
| Administrator’s EIN |
841646288 |
| Plan administrator’s name |
HOMETOWN HOMECARE LLC |
| Plan administrator’s
address |
250 MAGNOLIA AVE SW STE 300, WINTER HAVEN, FL, 338800000 |
| Administrator’s telephone number |
8634013550 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
HOMETOWN HOMECARE LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOMETOWN HOMECARE LLC
|
2009
|
841646288
|
2010-05-19
|
HOMETOWN HOMECARE LLC
|
54
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
8634013550
|
| Plan sponsor’s
address |
250 MAGNOLIA AVE SW STE 300, WINTER HAVEN, FL, 338800000
|
Plan administrator’s name and address
| Administrator’s EIN |
841646288 |
| Plan administrator’s name |
HOMETOWN HOMECARE LLC |
| Plan administrator’s
address |
250 MAGNOLIA AVE SW STE 300, WINTER HAVEN, FL, 338800000 |
| Administrator’s telephone number |
8634013550 |
Signature of
| Role |
Plan administrator |
| Date |
2010-05-19 |
| Name of individual signing |
HOMETOWN HOMECARE LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
