|
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
200471773
|
2024-05-06
|
COASTAL HOME CARE INC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
8133760135
|
| Plan sponsor’s
address |
7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2024-05-06 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
200471773
|
2023-04-08
|
COASTAL HOME CARE INC
|
25
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
8133760135
|
| Plan sponsor’s
address |
7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-08 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
200471773
|
2022-06-14
|
COASTAL HOME CARE INC
|
22
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
8133760135
|
| Plan sponsor’s
address |
7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809
|
Plan administrator’s name and address
| Administrator’s EIN |
471637791 |
| Plan administrator’s name |
ERISA FIDUCIARY SERVICES, INC. |
| Plan administrator’s
address |
1373 VETERANS HIGHWAY, SUITE 10, HAUPPAUGE, NY, 11788 |
| Administrator’s telephone number |
6312490500 |
Signature of
| Role |
Plan administrator |
| Date |
2022-06-14 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COASTAL HOME CARE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
200471773
|
2021-04-02
|
COASTAL HOME CARE INC
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
8133760135
|
| Plan sponsor’s
address |
7525 BLIND PASS RD, ST PETE BEACH, FL, 337061809
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-02 |
| Name of individual signing |
ERISA FIDUCIARY SERVICES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
