HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2019
|
650160619
|
2020-10-10
|
HARDEE SERVICES OF REHABILITATION INC
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8638320753
|
Plan sponsor’s mailing address |
2961 LAKEVIEW DR, SEBRING, FL, 338707902
|
Plan sponsor’s
address |
2961 LAKEVIEW DR, SEBRING, FL, 338707902
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-05 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2018
|
650160619
|
2019-08-21
|
HARDEE SERVICES OF REHABILITATION INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8638320753
|
Plan sponsor’s mailing address |
2961 LAKEVIEW DR, SEBRING, FL, 338707902
|
Plan sponsor’s
address |
2961 LAKEVIEW DR, SEBRING, FL, 338707902
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-08-19 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-08-19 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2017
|
650160619
|
2018-10-08
|
HARDEE SERVICES OF REHABILITATION INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2016
|
650160619
|
2018-01-30
|
HARDEE SERVICES OF REHABILITATION INC
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-30 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-30 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2015
|
650160619
|
2016-10-11
|
HARDEE SERVICES OF REHABILITATION INC
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 S, WAUCHULA, FL, 338739402
|
Number of participants as of the end of the plan year
Active participants |
43 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
12 |
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2014
|
650160619
|
2015-10-15
|
HARDEE SERVICES OF REHABILITATION INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Number of participants as of the end of the plan year
Active participants |
24 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
34 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2013
|
650160619
|
2014-09-22
|
HARDEE SERVICES OF REHABILITATION INC
|
61
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-18 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-18 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2012
|
650160619
|
2013-10-15
|
HARDEE SERVICES OF REHABILITATION INC
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Plan sponsor’s
address |
1330 US HIGHWAY 17 SOUTH, WAUCHULA, FL, 33873
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVICES OF REHABILITATION RETIREMENT PLAN
|
2010
|
650160619
|
2011-09-19
|
HARDEE SERVICES OF REHABILITATION INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HWY 17 S, WAUCHULA, FL, 33873
|
Plan sponsor’s
address |
1330 US HWY 17 S, WAUCHULA, FL, 33873
|
Plan administrator’s name and address
Administrator’s EIN |
650160619 |
Plan administrator’s name |
HARDEE SERVICES OF REHABILITATION INC |
Plan administrator’s
address |
1330 US HWY 17 S, WAUCHULA, FL, 33873 |
Administrator’s telephone number |
8637670111 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-09-15 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HARDEE SERVCES OF REHABILITATION RETIREMENT PLAN
|
2009
|
650160619
|
2010-07-16
|
HARDEE SERVICES OF REHABILITATION INC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
8637670111
|
Plan sponsor’s mailing address |
1330 US HWY 17 S, WAUCHULA, FL, 33873
|
Plan sponsor’s
address |
1330 US HWY 17 S, WAUCHULA, FL, 33873
|
Plan administrator’s name and address
Administrator’s EIN |
650160619 |
Plan administrator’s name |
HARDEE SERVICES OF REHABILITATION INC |
Plan administrator’s
address |
1330 US HWY 17 S, WAUCHULA, FL, 33873 |
Administrator’s telephone number |
8637670111 |
Number of participants as of the end of the plan year
Active participants |
57 |
Retired or separated participants receiving
benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
57 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-16 |
Name of individual signing |
MAGALI BOBE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|