LHS OF SOUTHWEST FLORIDA, LLC 401(K) PS PLAN
|
2023
|
273765616
|
2024-10-04
|
LHS OF SOUTHWEST FLORIDA, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Signature of
Role |
Plan administrator |
Date |
2024-10-04 |
Name of individual signing |
YU YA CHIU |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2022
|
273765616
|
2023-04-03
|
LHS OF SOUTHWEST FLORIDA, LLC
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2023-04-03 |
Name of individual signing |
NORM BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2022
|
273765616
|
2023-05-04
|
LHS OF SOUTHWEST FLORIDA, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2023-05-04 |
Name of individual signing |
NORM BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2021
|
273765616
|
2022-06-06
|
LHS OF SOUTHWEST FLORIDA, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2022-06-06 |
Name of individual signing |
NORM BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2020
|
273765616
|
2021-05-07
|
LHS OF SOUTHWEST FLORIDA, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2021-05-07 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2019
|
273765616
|
2020-05-18
|
LHS OF SOUTHWEST FLORIDA, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2020-05-18 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2018
|
273765616
|
2019-04-12
|
LHS OF SOUTHWEST FLORIDA, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2019-04-12 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2017
|
273765616
|
2018-04-27
|
LHS OF SOUTHWEST FLORIDA, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2018-04-27 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2016
|
273765616
|
2017-04-25
|
LHS OF SOUTHWEST FLORIDA, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2017-04-25 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LHS OF SOUTHWEST FLORIDA, LLC 401(K) P/S PLAN
|
2015
|
273765616
|
2016-06-10
|
LHS OF SOUTHWEST FLORIDA, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
2397282143
|
Plan sponsor’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913
|
Plan administrator’s name and address
Administrator’s EIN |
273765616 |
Plan administrator’s name |
LHS OF SOUTHWEST FLORIDA, LLC |
Plan administrator’s
address |
12244 TREELINE AVE STE 7, FORT MYERS, FL, 33913 |
Administrator’s telephone number |
2397282143 |
Signature of
Role |
Plan administrator |
Date |
2016-06-10 |
Name of individual signing |
NORMAN BLOXHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|