|
ICON HOME HEALTH, LLC 401 (K) AND PROFIT SHARING PLAN
|
2013
|
841477411
|
2015-10-23
|
ICON HOME HEALTH
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
7203414333
|
| Plan
sponsor’s DBA name |
TERM
|
| Plan sponsor’s
address |
2817 KEYSTONE DRIVE, EVERGREEN, CO, 80439
|
Signature of
| Role |
Plan administrator |
| Date |
2015-10-23 |
| Name of individual signing |
KAREN FRENCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICON HOME HEALTH, LLC 401(K) & PROFIT SHARING PLAN
|
2011
|
841477411
|
2012-06-11
|
ICON HOME HEALTH, LLC
|
56
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3032349500
|
| Plan sponsor’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
| Administrator’s EIN |
841477411 |
| Plan administrator’s name |
ICON HOME HEALTH, LLC |
| Plan administrator’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80215 |
| Administrator’s telephone number |
3032349500 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-11 |
| Name of individual signing |
KAREN FRENCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-11 |
| Name of individual signing |
KAREN FRENCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICON HOME HEALTH, LLC 401(K) & PROFIT SHARING PLAN
|
2010
|
841477411
|
2011-06-03
|
ICON HOME HEALTH, LLC
|
52
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3032349500
|
| Plan sponsor’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80215
|
Plan administrator’s name and address
| Administrator’s EIN |
841477411 |
| Plan administrator’s name |
ICON HOME HEALTH, LLC |
| Plan administrator’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80215 |
| Administrator’s telephone number |
3032349500 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-03 |
| Name of individual signing |
KAREN FRENCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICON HOME HEALTH, LLC 401(K) & PROFIT SHARING PLAN
|
2009
|
841477411
|
2010-09-08
|
ICON HOME HEALTH, LLC
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3032349500
|
| Plan sponsor’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80214
|
Plan administrator’s name and address
| Administrator’s EIN |
841477411 |
| Plan administrator’s name |
ICON HOME HEALTH, LLC |
| Plan administrator’s
address |
7000 WEST 14TH AVENUE, LAKEWOOD, CO, 80214 |
| Administrator’s telephone number |
3032349500 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-08 |
| Name of individual signing |
KAREN FRENCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
