|
CROWLEY COUNTY NURSING CENTER 403B PLAN
|
2013
|
840602568
|
2014-10-14
|
CROWLEY COUNTY NURSING CENTER
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7192673561
|
| Plan sponsor’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-14 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROWLEY COUNTY NURSING CENTER 403B PLAN
|
2012
|
840602568
|
2013-09-28
|
CROWLEY COUNTY NURSING CENTER
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7192673561
|
| Plan sponsor’s
address |
401 IDAHOE AVE, ORDWAY, CO, 81067
|
Signature of
| Role |
Plan administrator |
| Date |
2013-09-24 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-09-24 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROWLEY COUNTY NURSING CENTER 403B PLAN
|
2011
|
840602568
|
2012-10-10
|
CROWLEY COUNTY NURSING CENTER
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7192673561
|
| Plan sponsor’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063
|
Plan administrator’s name and address
| Administrator’s EIN |
840602568 |
| Plan administrator’s name |
CROWLEY COUNTY NURSING CENTER |
| Plan administrator’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063 |
| Administrator’s telephone number |
7192673561 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-10 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROWLEY COUNTY NURSING CENTER 403B PLAN
|
2010
|
840602568
|
2011-09-13
|
CROWLEY COUNTY NURSING CENTER
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7192673561
|
| Plan sponsor’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063
|
Plan administrator’s name and address
| Administrator’s EIN |
840602568 |
| Plan administrator’s name |
CROWLEY COUNTY NURSING CENTER |
| Plan administrator’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063 |
| Administrator’s telephone number |
7192673561 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-12 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CROWLEY COUNTY NURSING CENTER 403B PLAN
|
2009
|
840602568
|
2010-07-27
|
CROWLEY COUNTY NURSING CENTER
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7192673561
|
| Plan sponsor’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063
|
Plan administrator’s name and address
| Administrator’s EIN |
840602568 |
| Plan administrator’s name |
CROWLEY COUNTY NURSING CENTER |
| Plan administrator’s
address |
401 IDAHO AVE, ORDWAY, CO, 81063 |
| Administrator’s telephone number |
7192673561 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
SCOTT NELSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
