COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2016
|
841405085
|
2017-07-19
|
COLUMBINE HOME HEALTH INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
|
Number of participants as of the end of the plan year
Active participants |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2015
|
841405085
|
2016-07-13
|
COLUMBINE HOME HEALTH INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 816022024
|
Number of participants as of the end of the plan year
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2014
|
841405085
|
2015-06-29
|
COLUMBINE HOME HEALTH INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2013
|
841405085
|
2014-07-09
|
COLUMBINE HOME HEALTH INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-09 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2012
|
841405085
|
2013-08-21
|
COLUMBINE HOME HEALTH INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-08-21 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2011
|
841405085
|
2012-08-23
|
COLUMBINE HOME HEALTH INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan administrator’s name and address
Administrator’s EIN |
841405085 |
Plan administrator’s name |
COLUMBINE HOME HEALTH INC |
Plan administrator’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602 |
Administrator’s telephone number |
9709458050 |
Number of participants as of the end of the plan year
Active participants |
10 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-08-23 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC 403 (B) PLAN
|
2010
|
841405085
|
2011-08-23
|
COLUMBINE HOME HEALTH INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan administrator’s name and address
Administrator’s EIN |
841405085 |
Plan administrator’s name |
COLUMBINE HOME HEALTH INC |
Plan administrator’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602 |
Administrator’s telephone number |
9709458050 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-08-23 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2010
|
841405085
|
2011-08-23
|
COLUMBINE HOME HEALTH INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan administrator’s name and address
Administrator’s EIN |
841405085 |
Plan administrator’s name |
COLUMBINE HOME HEALTH INC |
Plan administrator’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602 |
Administrator’s telephone number |
9709458050 |
Number of participants as of the end of the plan year
Active participants |
14 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-08-23 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC 403 (B) PLAN
|
2009
|
841405085
|
2010-06-23
|
COLUMBINE HOME HEALTH INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan administrator’s name and address
Administrator’s EIN |
841405085 |
Plan administrator’s name |
COLUMBINE HOME HEALTH INC |
Plan administrator’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602 |
Administrator’s telephone number |
9709458050 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COLUMBINE HOME HEALTH INC FLEXIBLE BENEFIT PLAN
|
2009
|
841405085
|
2010-06-23
|
COLUMBINE HOME HEALTH INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1997-08-01
|
Business code |
621610
|
Sponsor’s telephone number |
9709458050
|
Plan sponsor’s mailing address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan sponsor’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602
|
Plan administrator’s name and address
Administrator’s EIN |
841405085 |
Plan administrator’s name |
COLUMBINE HOME HEALTH INC |
Plan administrator’s
address |
PO BOX 2024, GLENWOOD SPRINGS, CO, 81602 |
Administrator’s telephone number |
9709458050 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
TIM HOBBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|