|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2023
|
592998168
|
2024-09-20
|
SHEPHERD SENIOR LIVING, LLC
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3867563480
|
| Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-20 |
| Name of individual signing |
NAVEEN TREHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2022
|
592998168
|
2023-10-12
|
SHEPHERD SENIOR LIVING, LLC
|
84
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3867563480
|
| Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-12 |
| Name of individual signing |
NAVEEN TREHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2021
|
592998168
|
2022-10-12
|
SHEPHERD SENIOR LIVING, LLC
|
82
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3867563480
|
| Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-12 |
| Name of individual signing |
CHARLIE DIERKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2020
|
592998168
|
2021-10-13
|
SHEPHERD SENIOR LIVING, LLC
|
87
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3867563480
|
| Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
CHARLIE DIERKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2020
|
812283570
|
2021-10-13
|
SHEPHERD SENIOR LIVING, LLC
|
92
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
8008137437
|
| Plan sponsor’s
address |
727 ABBY MIST DRIVE, ST JOHNS, FL, 32259
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
CHARLIIE DIERKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2019
|
592998168
|
2021-10-13
|
SHEPHERD SENIOR LIVING, LLC
|
85
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3867563480
|
| Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-13 |
| Name of individual signing |
CHARLIE DIERKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHEPHERD SENIOR LIVING, LLC 401(K) PLAN
|
2017
|
812283570
|
2018-10-15
|
SHEPHERD SENIOR LIVING, LLC
|
88
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-04-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
8008137437
|
| Plan sponsor’s
address |
727 ABBY MIST DRIVE, ST JOHNS, FL, 32259
|
Signature of
| Role |
Plan administrator |
| Date |
2018-10-15 |
| Name of individual signing |
CHARLIIE DIERKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
