|
ALLIANT HOME HEALTH RETIREMENT PLAN
|
2020
|
272039902
|
2021-10-06
|
ALLIANT HOME HEALTH, LLC
|
96
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-08-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3034248000
|
| Plan sponsor’s
address |
12995 SHERIDAN BLVD, SUITE 201, BROOMFIELD, CO, 80020
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-06 |
| Name of individual signing |
TIMOTHY HERONIMUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-10-06 |
| Name of individual signing |
TIMOTHY HERONIMUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLIANT HOME HEALTH RETIREMENT PLAN
|
2019
|
272039902
|
2020-10-22
|
ALLIANT HOME HEALTH, LLC
|
92
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-08-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3034248000
|
| Plan sponsor’s
address |
12995 SHERIDAN BLVD, SUITE 201, BROOMFIELD, CO, 80020
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-22 |
| Name of individual signing |
TIMOTHY HERONIMUS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLIANT HOME HEALTH RETIREMENT PLAN
|
2018
|
272039902
|
2019-07-29
|
ALLIANT HOME HEALTH, LLC
|
57
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-08-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3034248000
|
| Plan sponsor’s
address |
12995 SHERIDAN BLVD, SUITE 201, BROOMFIELD, CO, 80020
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2019-07-29 |
| Name of individual signing |
DONAL FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ALLIANT HOME HEALTH RETIREMENT PLAN
|
2017
|
272039902
|
2018-10-02
|
ALLIANT HOME HEALTH, LLC
|
56
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-08-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
3034248000
|
| Plan sponsor’s
address |
12995 SHERIDAN BLVD, SUITE 201, BROOMFIELD, CO, 80020
|
Plan administrator’s name and address
| Administrator’s EIN |
454813650 |
| Plan administrator’s name |
3(16) FIDUCIARY SERVICES CORPORATION |
| Plan administrator’s
address |
1732 SOUTH CONGRESS AVENUE, NO. 310, PALM SPRINGS, FL, 33461 |
| Administrator’s telephone number |
5614402139 |
Signature of
| Role |
Plan administrator |
| Date |
2018-10-02 |
| Name of individual signing |
DONAL FORD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
