|
EMPLOYEE BENEFIT PLAN OF THE JEWISH ASSOCIATION FOR RESIDENTIAL CA
|
2012
|
651131701
|
2013-08-26
|
JEWISH ASSOCIATION FOR RESIDENTIAL CARE INC
|
119
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2003-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5615582550
|
| Plan sponsor’s mailing address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
| Plan sponsor’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
Number of participants as of the end of the plan year
| Active participants |
106 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
14 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
121 |
Signature of
| Role |
Plan administrator |
| Date |
2013-08-26 |
| Name of individual signing |
JAY BALDEO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF THE JEWISH ASSOCIATION FOR RESIDENTIAL CARE
|
2011
|
651131701
|
2012-10-12
|
JEWISH ASSOCIATION FOR RESIDENTIAL CARE INC.
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2003-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5615582550
|
| Plan sponsor’s mailing address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
| Plan sponsor’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
Plan administrator’s name and address
| Administrator’s EIN |
651161701 |
| Plan administrator’s name |
JEWISH ASSOCIATION FOR RESIDENTIAL CARE INC. |
| Plan administrator’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428 |
| Administrator’s telephone number |
5615582550 |
Number of participants as of the end of the plan year
| Active participants |
103 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
16 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
119 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-12 |
| Name of individual signing |
JAY BALDEO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF THE JEWISH ASSOCIATION FOR RESIDENTIAL CARE (JARC)
|
2010
|
651131701
|
2011-10-11
|
JEWISH ASSOCIATION FOR RESIDENTIAL CARE INC.
|
100
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2003-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5615582550
|
| Plan sponsor’s mailing address |
21160 95 TH AVE S., BOCA RATON, FL, 33428
|
| Plan sponsor’s
address |
21160 95 TH AVE S., BOCA RATON, FL, 33428
|
Plan administrator’s name and address
| Administrator’s EIN |
651131701 |
| Plan administrator’s name |
JEWISH ASSOCIATION FOR RESIDENTIAL CARE INC. |
| Plan administrator’s
address |
21160 95 TH AVE S., BOCA RATON, FL, 33428 |
| Administrator’s telephone number |
5615582550 |
Number of participants as of the end of the plan year
| Active participants |
97 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
15 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
113 |
| 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 |
2011-10-11 |
| Name of individual signing |
JAY BALDEO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF JEWISH ASSOCIATION FOR RESIDENTIAL CARE (JARC)
|
2009
|
651131701
|
2010-10-18
|
JEWISH ASSOCIATION FOR RESIDENTIAL CARE, INC
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2003-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5615582550
|
| Plan sponsor’s mailing address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
| Plan sponsor’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
Plan administrator’s name and address
| Administrator’s EIN |
651131701 |
| Plan administrator’s name |
JEWISH ASSOCIATION FOR RESIDENTIAL CARE, INC |
| Plan administrator’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428 |
| Administrator’s telephone number |
5615582550 |
Number of participants as of the end of the plan year
| Active participants |
87 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
13 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
100 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-18 |
| Name of individual signing |
JAY BALDEO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF JEWISH ASSOCIATION FOR RESIDENTIAL CARE (JARC)
|
2009
|
651131701
|
2010-10-15
|
JEWISH ASSOCIATION FOR RESIDENTIAL CARE, INC
|
110
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2003-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5615582550
|
| Plan sponsor’s mailing address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
| Plan sponsor’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428
|
Plan administrator’s name and address
| Administrator’s EIN |
651131701 |
| Plan administrator’s name |
JEWISH ASSOCIATION FOR RESIDENTIAL CARE, INC |
| Plan administrator’s
address |
21160 95TH AVE S, BOCA RATON, FL, 33428 |
| Administrator’s telephone number |
5615582550 |
Number of participants as of the end of the plan year
| Active participants |
87 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
13 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
100 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-15 |
| Name of individual signing |
JAY BALDEO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
