NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2017
|
841393531
|
2018-09-25
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2018-09-25 |
Name of individual signing |
CHERILYN BARRINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2016
|
841393531
|
2017-07-24
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
CHERILYN BARRINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2015
|
841393531
|
2016-10-03
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
CHERILYN BARRINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-03 |
Name of individual signing |
CHERILYN BARRINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2014
|
841393531
|
2015-07-31
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
CHERILYN BARRINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
C |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2013
|
841393531
|
2014-06-19
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2014-06-19 |
Name of individual signing |
CHERILYN CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-19 |
Name of individual signing |
CHERILYN CLARK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2012
|
841393531
|
2013-05-22
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVENUE, GREELEY, CO, 80631
|
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
BEVERLY THORNGATE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-22 |
Name of individual signing |
JOHN RATTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHEAST BEHAVIORAL HEALTH RETIREMENT PLAN
|
2011
|
841393531
|
2012-10-05
|
NORTHEAST BEHAVIORAL HEALTH, LLC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
621420
|
Sponsor’s telephone number |
9703472120
|
Plan sponsor’s
address |
1300 NORTH 17TH AVE., GREELEY, CO, 80631
|
Plan administrator’s name and address
Administrator’s EIN |
841393531 |
Plan administrator’s name |
NORTHEAST BEHAVIORAL HEALTH, LLC |
Plan administrator’s
address |
1300 NORTH 17TH AVE., GREELEY, CO, 80631 |
Administrator’s telephone number |
9703472120 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
JOHN RATTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
JOHN RATTLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|