BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2023
|
474341155
|
2024-05-29
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Signature of
Role |
Plan administrator |
Date |
2024-05-29 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-05-29 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2022
|
474341155
|
2023-04-12
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2023-04-12 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2022
|
474341155
|
2023-03-22
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2023-03-22 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2021
|
474341155
|
2022-05-24
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2022-05-24 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2020
|
474341155
|
2021-06-02
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2021-06-02 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2019
|
474341155
|
2020-03-06
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2020-03-06 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC 401(K) P/S PLAN
|
2018
|
474341155
|
2019-03-27
|
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2018-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3037582000
|
Plan sponsor’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014
|
Plan administrator’s name and address
Administrator’s EIN |
474341155 |
Plan administrator’s name |
BERKLEY PALLIATIVE CARE AND HOSPICE, LLC |
Plan administrator’s
address |
10697 E DARTMOUTH AVE, AURORA, CO, 80014 |
Administrator’s telephone number |
3037582000 |
Signature of
Role |
Plan administrator |
Date |
2019-03-27 |
Name of individual signing |
MICHELLE DONNAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|