PINES RETIREMENT RESIDENCE INC
|
2014
|
510625085
|
2015-10-22
|
PINES RETIREMENT RESIDENCE INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-22 |
Name of individual signing |
JULIA GIORDANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC
|
2014
|
510625085
|
2015-10-22
|
PINES RETIREMENT RESIDENCE INC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-22 |
Name of individual signing |
JULIA GIORDANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC
|
2013
|
510625085
|
2015-10-22
|
PINES RETIREMENT RESIDENCE INC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-22 |
Name of individual signing |
JULIA GIORDANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC
|
2013
|
510625085
|
2015-10-22
|
PINES RETIREMENT RESIDENCE INC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-22 |
Name of individual signing |
JULIA GIORDANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC
|
2013
|
510625085
|
2015-10-22
|
PINES RETIREMENT RESIDENCE INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2015-10-22 |
Name of individual signing |
JULIA GIORDANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
510625085
|
2013-06-03
|
PINES RETIREMENT RESIDENCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
PINES RETIREMENT RESIDENCE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINES RETIREMENT RESIDENCE INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
510625085
|
2012-06-19
|
PINES RETIREMENT RESIDENCE INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7542441296
|
Plan sponsor’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029
|
Plan administrator’s name and address
Administrator’s EIN |
510625085 |
Plan administrator’s name |
PINES RETIREMENT RESIDENCE INC |
Plan administrator’s
address |
2327 NW 190TH AVE, PEMBROKE PINES, FL, 33029 |
Administrator’s telephone number |
7542441296 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
PINES RETIREMENT RESIDENCE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|