|
STAR RISE HOME CARE, LLC 401(K) P/S PLAN
|
2023
|
824008749
|
2024-06-04
|
STAR RISE HOME CARE, LLC
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3862320449
|
| Plan sponsor’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-04 |
| Name of individual signing |
WILLIAM GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAR RISE HOME CARE, LLC 401(K) P/S PLAN
|
2022
|
824008749
|
2023-04-27
|
STAR RISE HOME CARE, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3862320449
|
| Plan sponsor’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724
|
Plan administrator’s name and address
| Administrator’s EIN |
824008749 |
| Plan administrator’s name |
STAR RISE HOME CARE, LLC |
| Plan administrator’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724 |
| Administrator’s telephone number |
3862320449 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-27 |
| Name of individual signing |
WILLIAM GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAR RISE HOME CARE, LLC 401(K) P/S PLAN
|
2021
|
824008749
|
2022-06-07
|
STAR RISE HOME CARE, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3862320449
|
| Plan sponsor’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724
|
Plan administrator’s name and address
| Administrator’s EIN |
824008749 |
| Plan administrator’s name |
STAR RISE HOME CARE, LLC |
| Plan administrator’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724 |
| Administrator’s telephone number |
3862320449 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-07 |
| Name of individual signing |
WILLIAM GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
STAR RISE HOME CARE, LLC 401(K) P/S PLAN
|
2020
|
824008749
|
2021-05-27
|
STAR RISE HOME CARE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
3862320449
|
| Plan sponsor’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724
|
Plan administrator’s name and address
| Administrator’s EIN |
824008749 |
| Plan administrator’s name |
STAR RISE HOME CARE, LLC |
| Plan administrator’s
address |
2109 E NEW YORK AVE, DELAND, FL, 32724 |
| Administrator’s telephone number |
3862320449 |
Signature of
| Role |
Plan administrator |
| Date |
2021-05-27 |
| Name of individual signing |
WILLIAM GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
