VENICE REHAB., INC. PROFIT SHARING PLAN
|
2015
|
650575745
|
2016-07-23
|
VENICE REHAB., INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34293
|
Signature of
Role |
Plan administrator |
Date |
2016-07-23 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2014
|
650575745
|
2015-09-10
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34293
|
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-10 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2013
|
650575745
|
2014-07-30
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2012
|
650575745
|
2014-07-30
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2011
|
650575745
|
2012-07-30
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230
|
Plan administrator’s name and address
Administrator’s EIN |
650575745 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230 |
Administrator’s telephone number |
9414080670 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-30 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2010
|
650575745
|
2011-09-20
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230
|
Plan administrator’s name and address
Administrator’s EIN |
650575745 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230 |
Administrator’s telephone number |
9414080670 |
Signature of
Role |
Plan administrator |
Date |
2011-09-20 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-20 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
VENICE REHAB., INC. PROFIT SHARING PLAN
|
2009
|
650575745
|
2010-10-13
|
VENICE REHAB, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1995-06-01
|
Business code |
621340
|
Sponsor’s telephone number |
9414080670
|
Plan sponsor’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230
|
Plan administrator’s name and address
Administrator’s EIN |
650575745 |
Plan administrator’s name |
SAME |
Plan administrator’s
address |
4120 WOODMERE PARK BLVD, SUITE 5, VENICE, FL, 34230 |
Administrator’s telephone number |
9414080670 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
JEANNE UTTERBACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|