BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2011
|
203474070
|
2012-08-22
|
BAYWEST HEALTH & REHAB, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-22 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2011
|
203474070
|
2012-07-16
|
BAYWEST HEALTH & REHAB, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2010
|
203474070
|
2012-08-24
|
BAYWEST HEALTH & REHAB, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2012-08-24 |
Name of individual signing |
SCOTT COLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-08-24 |
Name of individual signing |
SCOTT COLETTI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2010
|
203474070
|
2012-07-17
|
BAYWEST HEALTH & REHAB, LLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-17 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2009
|
203474070
|
2010-07-28
|
BAYWEST HEALTH & REHAB, LLC
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
SCOTT COLETTI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
SCOTT COLETTI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BAYWEST HEALTH & REHAB, LLC 401(K) PLAN
|
2009
|
203474070
|
2012-07-17
|
BAYWEST HEALTH & REHAB, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621111
|
Sponsor’s telephone number |
7273720091
|
Plan sponsor’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020
|
Plan administrator’s name and address
Administrator’s EIN |
203474070 |
Plan administrator’s name |
BAYWEST HEALTH & REHAB, LLC |
Plan administrator’s
address |
5633 STATE ROAD 54, NEW PORT RICHEY, FL, 346526020 |
Administrator’s telephone number |
7273720091 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-17 |
Name of individual signing |
JAMES ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|