LAS ANIMAS COUNTY REHABILITATION CENTER 403(B) TAX SHELTERED ANNUITY PLAN
|
2012
|
840602941
|
2013-09-10
|
LAS ANIMAS COUNTY REHABILITATION CENTER
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
7198463391
|
Plan sponsor’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082
|
Signature of
Role |
Plan administrator |
Date |
2013-09-09 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-09 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAS ANIMAS COUNTY REHABILITATION CENTER 403(B) TAX SHELTERED ANNUITY PLAN
|
2011
|
840602941
|
2012-12-28
|
LAS ANIMAS COUNTY REHABILITATION CENTER
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
7198463391
|
Plan sponsor’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082
|
Plan administrator’s name and address
Administrator’s EIN |
840602941 |
Plan administrator’s name |
LAS ANIMAS COUNTY REHABILITATION CENTER |
Plan administrator’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082 |
Administrator’s telephone number |
7198463391 |
Signature of
Role |
Plan administrator |
Date |
2012-12-28 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-28 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAS ANIMAS COUNTY REHABILITATION CENTER 403(B) TAX SHELTERED ANNUITY PLAN
|
2010
|
840602941
|
2012-01-02
|
LAS ANIMAS COUNTY REHABILITATION CENTER
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
7198463391
|
Plan sponsor’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082
|
Plan administrator’s name and address
Administrator’s EIN |
840602941 |
Plan administrator’s name |
LAS ANIMAS COUNTY REHABILITATION CENTER |
Plan administrator’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082 |
Administrator’s telephone number |
7198463391 |
Signature of
Role |
Plan administrator |
Date |
2011-12-30 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-30 |
Name of individual signing |
DUANE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAS ANIMAS COUNTY REHABILITATION CENTER 403(B) TAX SHELTERED ANNUITY PLAN
|
2009
|
840602941
|
2011-02-02
|
LAS ANIMAS COUNTY REHABILITATION CENTER
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-07-01
|
Business code |
621399
|
Sponsor’s telephone number |
7198463391
|
Plan sponsor’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082
|
Plan administrator’s name and address
Administrator’s EIN |
840602941 |
Plan administrator’s name |
LAS ANIMAS COUNTY REHABILITATION CENTER |
Plan administrator’s
address |
P.O. BOX 156, 1205 CONGRESS DRIVE, TRINIDAD, CO, 81082 |
Administrator’s telephone number |
7198463391 |
Signature of
Role |
Plan administrator |
Date |
2011-02-01 |
Name of individual signing |
DAUNE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-01 |
Name of individual signing |
DAUNE ROY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|