|
PARK FOREST CARE CENTER, INC. 401(K) PLAN
|
2023
|
841191628
|
2024-07-22
|
PARK FOREST CARE CENTER, INC.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-04-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3034277045
|
| Plan sponsor’s
address |
7045 STUART ST, WESTMINSTER, CO, 800305820
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-22 |
| Name of individual signing |
BEVERLY SHAMLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARK FOREST CARE CENTER, INC. 401(K) PLAN
|
2022
|
841191628
|
2023-07-19
|
PARK FOREST CARE CENTER, INC.
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3034277045
|
| Plan sponsor’s
address |
7045 STUART ST, WESTMINSTER, CO, 800305820
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-19 |
| Name of individual signing |
BEVERLY SHAMLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARK FOREST CARE CENTER, INC. 401(K) PLAN
|
2021
|
841191628
|
2022-07-06
|
PARK FOREST CARE CENTER, INC.
|
36
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3034277045
|
| Plan sponsor’s
address |
7045 STUART ST, WESTMINSTER, CO, 800305820
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-06 |
| Name of individual signing |
BEVERLY SHAMLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARK FOREST CARE CENTER, INC.
|
2020
|
841191628
|
2021-07-16
|
PARK FOREST CARE CENTER, INC.
|
59
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3034277045
|
| Plan sponsor’s
address |
7045 STUART ST, WESTMINSTER, CO, 800305820
|
Signature of
| Role |
Plan administrator |
| Date |
2021-07-16 |
| Name of individual signing |
BEVERLY SHAMLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PARK FOREST CARE CENTER, INC. 401(K) PLAN
|
2019
|
841191628
|
2020-06-29
|
PARK FOREST CARE CENTER, INC.
|
60
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
111100
|
| Sponsor’s telephone number |
3034277045
|
| Plan sponsor’s
address |
7045 STUART ST, WESTMINSTER, CO, 800305820
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-29 |
| Name of individual signing |
BEVERLY SHAMLEY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
