403(B) THRIFT PLAN FOR EMPLOYEES OF MERCY HAVEN, INC.
|
2023
|
112783877
|
2024-10-15
|
MERCY HAVEN, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2024-10-15 |
Name of individual signing |
JOHN MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-15 |
Name of individual signing |
JOHN MURRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN FOR EMPLOYEES OF MERCY HAVEN, INC.
|
2022
|
112783877
|
2023-10-16
|
MERCY HAVEN, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621420
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
JOHN MURRAY |
|
Role |
Employer/plan sponsor |
Date |
2023-10-16 |
Name of individual signing |
JOHN MURRAY |
|
|
403(B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2020
|
112783877
|
2022-01-18
|
MERCY HAVEN, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621420
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2022-01-18 |
Name of individual signing |
BRIAN SEEVERS |
|
|
403(B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2019
|
112783877
|
2020-07-28
|
MERCY HAVEN, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621420
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
SUSAN SOLIMANDO |
|
|
403(B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2018
|
112783877
|
2019-05-23
|
MERCY HAVEN, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
621420
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
SUSAN SOLIMANDO |
|
|
403 (B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2017
|
112783877
|
2018-11-20
|
MERCY HAVEN, INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2018-11-20 |
Name of individual signing |
LORI BONOME |
|
|
403)B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2016
|
112783877
|
2018-11-20
|
MERCY HAVEN, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 117521400
|
Signature of
Role |
Plan administrator |
Date |
2018-11-20 |
Name of individual signing |
LORI BONOME |
|
|
403(B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2015
|
112783877
|
2016-05-17
|
MERCY HAVEN, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 11752
|
Signature of
Role |
Plan administrator |
Date |
2016-05-17 |
Name of individual signing |
BRIAN ZWOLAK |
|
Role |
Employer/plan sponsor |
Date |
2016-05-17 |
Name of individual signing |
BRIAN ZWOLAK |
|
|
403(B) THRIFT PLAN OF MERCY HAVEN, INC.
|
2014
|
112783877
|
2015-07-09
|
MERCY HAVEN, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
6312778300
|
Plan sponsor’s
address |
859 CONNETQUOT AVE STE 10, ISLIP TERRACE, NY, 11752
|
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
BRIAN ZWOLAK |
|
Role |
Employer/plan sponsor |
Date |
2015-07-09 |
Name of individual signing |
BRIAN ZWOLAK |
|
|