401K EMPLOYEE RETIREMENT PLAN
|
2021
|
463682787
|
2022-07-12
|
ATTENTIVE CARE NURSING, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2022-07-12 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2020
|
463682787
|
2021-07-15
|
ATTENTIVE CARE NURSING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2021-07-15 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2019
|
463682787
|
2020-07-06
|
ATTENTIVE CARE NURSING, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2020-07-06 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2018
|
463682787
|
2019-07-25
|
ATTENTIVE CARE NURSING, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2017
|
463682787
|
2018-07-30
|
ATTENTIVE CARE NURSING, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2016
|
463682787
|
2019-06-18
|
ATTENTIVE CARE NURSING, INC.
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2019-06-18 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2016
|
463682787
|
2019-06-20
|
ATTENTIVE CARE NURSING, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
401K EMPLOYEE RETIREMENT PLAN
|
2016
|
463682787
|
2017-07-06
|
ATTENTIVE CARE NURSING, INC.
|
33
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7692575625
|
Plan sponsor’s
address |
8719 HWY 25, STE 104, FLOWOOD, MS, 39232
|
Plan administrator’s name and address
Administrator’s EIN |
452557054 |
Plan administrator’s name |
RETIREMENT PLAN SERVICES, LLC |
Plan administrator’s
address |
4209 LAKELAND DRIVE, FLOWOOD, MS, 39232 |
Administrator’s telephone number |
6019191023 |
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
SCOTT HILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|