|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2022
|
650101947
|
2023-07-11
|
ALLIANCE FOR AGING, INC.
|
116
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2022
|
650101947
|
2023-07-11
|
ALLIANCE FOR AGING, INC.
|
116
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2022
|
650101947
|
2023-07-11
|
ALLIANCE FOR AGING, INC.
|
116
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2021
|
650101947
|
2022-04-05
|
ALLIANCE FOR AGING, INC.
|
101
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2022-04-05 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2019
|
650101947
|
2020-06-17
|
ALLIANCE FOR AGING, INC.
|
97
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-17 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2019
|
650101947
|
2020-06-11
|
ALLIANCE FOR AGING, INC.
|
97
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-11 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC.
|
2018
|
650101947
|
2019-08-16
|
ALLIANCE FOR AGING, INC.
|
96
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2019-08-16 |
| Name of individual signing |
TONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING INC
|
2017
|
650101947
|
2018-09-19
|
ALLIANCE FOR AGING INC
|
86
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2018-09-19 |
| Name of individual signing |
ANTHONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-09-19 |
| Name of individual signing |
ANTHONY COOMBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC. ALLIANCE FOR AGING, INC.
|
2016
|
650101947
|
2017-05-19
|
ALLIANCE FOR AGING, INC.
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2017-05-19 |
| Name of individual signing |
STEVEN ERJAVEC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFIT PLAN OF ALLIANCE FOR AGING, INC. ALLIANCE FOR AGING, INC.
|
2015
|
650101947
|
2016-05-16
|
ALLIANCE FOR AGING, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
3056706500
|
| Plan sponsor’s
address |
760 NW 107TH AVE STE 214, MIAMI, FL, 331723155
|
Signature of
| Role |
Plan administrator |
| Date |
2016-05-16 |
| Name of individual signing |
STANLEY MCNEESE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
