|
COMMUNITY ELDERCARE SERVICES, LLC EMPLOYEE BENEFITS PLAN
|
2018
|
640922204
|
2019-10-15
|
COMMUNITY ELDERCARE SERVICES, LLC
|
630
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2018-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6626813148
|
| Plan sponsor’s mailing address |
P.O. BOX 3667, TUPELO, MS, 38803
|
| Plan sponsor’s
address |
2844 TRACELAND DRIVE, TUPELO, MS, 38803
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2019-10-15 |
| Name of individual signing |
ALICIA WARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY ELDERCARE SERVICES, LLC EMPLOYEE BENEFITS PLAN
|
2017
|
640922204
|
2018-10-08
|
COMMUNITY ELDERCARE SERVICES, LLC
|
560
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2017-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6626813148
|
| Plan sponsor’s mailing address |
P.O. BOX 3667, TUPELO, MS, 38803
|
| Plan sponsor’s
address |
2844 TRACELAND DRIVE, TUPELO, MS, 38803
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2018-10-08 |
| Name of individual signing |
ALICIA WARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY ELDERCARE SERVICES, LLC EMPLOYEE BENEFIT PLAN
|
2016
|
640922204
|
2017-09-28
|
COMMUNITY ELDERCARE SERVICES, LLC
|
655
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2016-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6626813148
|
| Plan sponsor’s mailing address |
P.O. BOX 3667, TUPELO, MS, 38803
|
| Plan sponsor’s
address |
2844 TRACELAND DRIVE, TUPELO, MS, 38803
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2017-09-28 |
| Name of individual signing |
SHANNON BOLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2017-09-28 |
| Name of individual signing |
SHANNON BOLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
COMMUNITY ELDERCARE SERVICES, LLC EMPLOYEE BENEFIT PLAN
|
2015
|
640922204
|
2016-10-13
|
COMMUNITY ELDERCARE SERVICES, LLC
|
657
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
502
|
| Effective date of plan |
2015-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6626813148
|
| Plan sponsor’s mailing address |
P.O. BOX 3667, TUPELO, MS, 38803
|
| Plan sponsor’s
address |
2844 TRACELAND DRIVE, TUPELO, MS, 38803
|
Number of participants as of the end of the plan year
| Active participants |
604 |
| Retired or separated participants receiving
benefits |
16 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2016-10-13 |
| Name of individual signing |
SHANNON BOLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-10-13 |
| Name of individual signing |
SHANNON BOLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
