BALFOUR SENIOR LIVING 401K PLAN
|
2019
|
841452859
|
2020-10-14
|
BALFOUR SENIOR CARE
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7207508223
|
Plan sponsor’s
address |
183 S. TAYLOR AVE, SUITE 155, LOUISVILLE, CO, 80027
|
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
DANA HERRERA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE HEALTH PLAN
|
2010
|
841452859
|
2011-07-29
|
BALFOUR SENIOR CARE LLC
|
183
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Active participants |
177 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE DENTAL PLAN
|
2010
|
841452859
|
2011-07-29
|
BALFOUR SENIOR CARE LLC
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE LLC LIFE AND AD&D PLAN
|
2010
|
841452859
|
2011-07-29
|
BALFOUR SENIOR CARE LLC
|
172
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE HEALTH PLAN
|
2009
|
841452859
|
2010-07-28
|
BALFOUR SENIOR CARE LLC
|
167
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Active participants |
161 |
Retired or separated participants receiving
benefits |
6 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE LLC LIFE AND AD&D PLAN
|
2009
|
841452859
|
2010-07-28
|
BALFOUR SENIOR CARE LLC
|
169
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BALFOUR SENIOR CARE DENTAL PLAN
|
2009
|
841452859
|
2010-07-28
|
BALFOUR SENIOR CARE LLC
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Sponsor’s telephone number |
3039263936
|
Plan sponsor’s mailing address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan sponsor’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027
|
Plan administrator’s name and address
Administrator’s EIN |
841452859 |
Plan administrator’s name |
BALFOUR SENIOR CARE LLC |
Plan administrator’s
address |
1855 PLAZA DRIVE, LOUISVILLE, CO, 80027 |
Administrator’s telephone number |
3039263936 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JANE DRURY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|