OPTIMAL HOME CARE, INC. 401(K) PLAN
|
2015
|
201676501
|
2016-09-09
|
OPTIMAL HOME CARE, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-04-16
|
Business code |
621610
|
Sponsor’s telephone number |
3034889999
|
Plan sponsor’s
address |
4380 SOUTH SYRACUSE STREET 600, DENVER, CO, 80237
|
Signature of
Role |
Plan administrator |
Date |
2016-09-09 |
Name of individual signing |
ERIC EHRLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2014
|
201676501
|
2015-07-14
|
OPTIMAL HOME CARE INC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3034889999
|
Plan sponsor’s
address |
3540 S POPLAR ST STE 101, DENVER, CO, 802371365
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2013
|
201676501
|
2014-07-22
|
OPTIMAL HOME CARE INC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3034889999
|
Plan sponsor’s
address |
3540 S POPLAR ST STE 101, DENVER, CO, 802371365
|
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2012
|
201676501
|
2013-07-24
|
OPTIMAL HOME CARE INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3034889999
|
Plan sponsor’s
address |
3540 S POPLAR ST STE 101, DENVER, CO, 802371365
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2011
|
201676501
|
2012-07-30
|
OPTIMAL HOME CARE INC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3034889999
|
Plan sponsor’s
address |
3540 S POPLAR ST STE 101, DENVER, CO, 802371365
|
Plan administrator’s name and address
Administrator’s EIN |
201676501 |
Plan administrator’s name |
OPTIMAL HOME CARE INC |
Plan administrator’s
address |
3540 S POPLAR ST STE 101, DENVER, CO, 802371365 |
Administrator’s telephone number |
3034889999 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2010
|
201676501
|
2011-07-15
|
OPTIMAL HOME CARE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3034825919
|
Plan sponsor’s
address |
9988 E ALABAMA DR #1616, DENVER, CO, 802476362
|
Plan administrator’s name and address
Administrator’s EIN |
201676501 |
Plan administrator’s name |
OPTIMAL HOME CARE INC |
Plan administrator’s
address |
9988 E ALABAMA DR #1616, DENVER, CO, 802476362 |
Administrator’s telephone number |
3034825919 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-15 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2009
|
201676501
|
2010-07-21
|
OPTIMAL HOME CARE INC
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033539220
|
Plan sponsor’s
address |
9988 E ALABAMA DR, DENVER, CO, 802476363
|
Plan administrator’s name and address
Administrator’s EIN |
201676501 |
Plan administrator’s name |
OPTIMAL HOME CARE INC |
Plan administrator’s
address |
9988 E ALABAMA DR, DENVER, CO, 802476363 |
Administrator’s telephone number |
3033539220 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
OPTIMAL HOME CARE INC 401K PLAN
|
2009
|
201676501
|
2010-10-14
|
OPTIMAL HOME CARE INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
3033539220
|
Plan sponsor’s
address |
9988 E ALABAMA DR, DENVER, CO, 802476363
|
Plan administrator’s name and address
Administrator’s EIN |
201676501 |
Plan administrator’s name |
OPTIMAL HOME CARE INC |
Plan administrator’s
address |
9988 E ALABAMA DR, DENVER, CO, 802476363 |
Administrator’s telephone number |
3033539220 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
EDWYN VERGEIRE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|