|
BASIC HEALTH CARE, INC., DEFINED BENEFIT PLAN
|
2012
|
650467949
|
2013-10-15
|
BASIC HEALTH CARE, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413807737
|
| Plan sponsor’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
| Administrator’s EIN |
650467979 |
| Plan administrator’s name |
BASIC HEALTH CARE, INC. |
| Plan administrator’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952 |
| Administrator’s telephone number |
9413807737 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
DEBI BERG |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BASIC HEALTH CARE, INC., DEFINED BENEFIT PLAN
|
2011
|
650467949
|
2012-10-14
|
BASIC HEALTH CARE, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413807737
|
| Plan sponsor’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
| Administrator’s EIN |
650467979 |
| Plan administrator’s name |
BASIC HEALTH CARE, INC. |
| Plan administrator’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952 |
| Administrator’s telephone number |
9413807737 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-14 |
| Name of individual signing |
CHARLES MCKENZIE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BASIC HEALTH CARE, INC., DEFINED BENEFIT PLAN
|
2010
|
650467949
|
2011-10-16
|
BASIC HEALTH CARE, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
9413807737
|
| Plan sponsor’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952
|
Plan administrator’s name and address
| Administrator’s EIN |
650467979 |
| Plan administrator’s name |
BASIC HEALTH CARE, INC. |
| Plan administrator’s
address |
203 GEORGE ROAD, PORT CHARLOTTE, FL, 33952 |
| Administrator’s telephone number |
9413807737 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-16 |
| Name of individual signing |
CHARLES MCKENZIE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
