SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
261434761
|
2017-07-23
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9014909075
|
Plan sponsor’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101
|
Signature of
Role |
Plan administrator |
Date |
2017-07-23 |
Name of individual signing |
LUCINDA LEEKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
261434761
|
2016-07-25
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9014909075
|
Plan sponsor’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
LUCINDA LEEKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
261434761
|
2015-07-27
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9014909075
|
Plan sponsor’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
LUCINDA J LEEKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
261434761
|
2015-11-25
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6628905554
|
Plan sponsor’s
address |
7139 COMMERCE DR, SUITE B-3, OLIVE BRANCH, MS, 386542101
|
Signature of
Role |
Plan administrator |
Date |
2015-11-25 |
Name of individual signing |
SCOTT LEEKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
261434761
|
2013-07-31
|
SPRING VALLEY HOSPICE LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9014909075
|
Plan sponsor’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101
|
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
SPRING VALLEY HOSPICE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
261434761
|
2013-07-31
|
SPRING VALLEY HOSPICE LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
9014909075
|
Plan sponsor’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101
|
Plan administrator’s name and address
Administrator’s EIN |
261434761 |
Plan administrator’s name |
SPRING VALLEY HOSPICE LLC |
Plan administrator’s
address |
7139 COMMERCE DR STE B2, OLIVE BRANCH, MS, 386542101 |
Administrator’s telephone number |
9014909075 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
SPRING VALLEY HOSPICE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
261434761
|
2011-08-03
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6628905554
|
Plan sponsor’s
address |
7139 COMMERCE DRIVE B2, OLIVE BRANCH, MS, 386540000
|
Plan administrator’s name and address
Administrator’s EIN |
261434761 |
Plan administrator’s name |
SPRING VALLEY HOSPICE LLC |
Plan administrator’s
address |
7139 COMMERCE DRIVE B2, OLIVE BRANCH, MS, 386540000 |
Administrator’s telephone number |
6628905554 |
Signature of
Role |
Plan administrator |
Date |
2011-08-03 |
Name of individual signing |
SPRING VALLEY HOSPICE LLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPRING VALLEY HOSPICE LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
261434761
|
2011-07-19
|
SPRING VALLEY HOSPICE LLC
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6628905554
|
Plan sponsor’s
address |
7139 COMMERCE DRIVE B2, OLIVE BRANCH, MS, 386540000
|
Plan administrator’s name and address
Administrator’s EIN |
261434761 |
Plan administrator’s name |
SPRING VALLEY HOSPICE LLC |
Plan administrator’s
address |
7139 COMMERCE DRIVE B2, OLIVE BRANCH, MS, 386540000 |
Administrator’s telephone number |
6628905554 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
SPRING VALLEY HOSPICE LLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|