|
FRONTIER HOSPICE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
510528060
|
2021-10-15
|
FRONTIER HOSPICE LLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
7199249028
|
| Plan sponsor’s
address |
4718 N ELIZABETH ST - STE A, PUEBLO, CO, 81008
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-15 |
| Name of individual signing |
CASSY SCHILLING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRONTIER HOSPICE LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
510528060
|
2020-07-30
|
FRONTIER HOSPICE LLC
|
37
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
7199249028
|
| Plan sponsor’s
address |
4718 N ELIZABETH ST - STE A, PUEBLO, CO, 81008
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-30 |
| Name of individual signing |
RANDI WURDINGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRONTIER HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
510528060
|
2019-04-05
|
FRONTIER HOSPICE LLC
|
46
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
7199249028
|
| Plan sponsor’s
address |
4718 N ELIZABETH ST - STE A, PUEBLO, CO, 81008
|
Plan administrator’s name and address
| Administrator’s EIN |
264477125 |
| Plan administrator’s name |
401K GENERATION |
| Plan administrator’s
address |
195 INTERNATIONAL PKWY, S #311, LAKE MARY, FL, 32746 |
| Administrator’s telephone number |
8669985879 |
Signature of
| Role |
Plan administrator |
| Date |
2019-04-05 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRONTIER HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
510528060
|
2018-04-04
|
FRONTIER HOSPICE LLC
|
42
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
7199249028
|
| Plan sponsor’s
address |
4718 N ELIZABETH ST - STE A, PUEBLO, CO, 81008
|
Signature of
| Role |
Plan administrator |
| Date |
2018-04-04 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FRONTIER HOSPICE, LLC 401(K) PLAN AND TRUST
|
2009
|
510528060
|
2010-07-15
|
FRONTIER HOSPICE, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
7195445891
|
| Plan sponsor’s
address |
503 NORTH MAIN, 103 W, PUEBLO, CO, 81003
|
Plan administrator’s name and address
| Administrator’s EIN |
510528060 |
| Plan administrator’s name |
FRONTIER HOSPICE, LLC |
| Plan administrator’s
address |
503 NORTH MAIN, 103 W, PUEBLO, CO, 81003 |
| Administrator’s telephone number |
7195445891 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-15 |
| Name of individual signing |
LARRY RUSSELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
