TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE
|
2016
|
141885180
|
2017-10-16
|
WECARE OF SOUTH DADE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 330340547
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2015
|
141885180
|
2016-09-30
|
WECARE OF SOUTH DADE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 330340547
|
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-30 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2014
|
141885180
|
2015-07-30
|
WECARE OF SOUTH DADE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-30 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2013
|
141885180
|
2014-07-31
|
WECARE OF SOUTH DADE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2012
|
141885180
|
2013-07-11
|
WECARE OF SOUTH DADE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Signature of
Role |
Plan administrator |
Date |
2013-07-11 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-11 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2011
|
141885180
|
2012-07-24
|
WECARE OF SOUTH DADE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Plan administrator’s name and address
Administrator’s EIN |
141885180 |
Plan administrator’s name |
WECARE OF SOUTH DADE, INC. |
Plan administrator’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034 |
Administrator’s telephone number |
3052479693 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-24 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2010
|
141885180
|
2011-07-28
|
WECARE OF SOUTH DADE, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Plan administrator’s name and address
Administrator’s EIN |
141885180 |
Plan administrator’s name |
WECARE OF SOUTH DADE, INC. |
Plan administrator’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034 |
Administrator’s telephone number |
3052479693 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-28 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WECARE OF SOUTH DADE, INC.
|
2009
|
141885180
|
2010-10-15
|
WECARE OF SOUTH DADE, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
3052479693
|
Plan sponsor’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034
|
Plan administrator’s name and address
Administrator’s EIN |
141885180 |
Plan administrator’s name |
WECARE OF SOUTH DADE, INC. |
Plan administrator’s
address |
PO BOX 343547, FLORIDA CITY, FL, 33034 |
Administrator’s telephone number |
3052479693 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
KAMETRA DRIVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|