CLARK HOME RESPIRATORY 401(K) PROFIT SHARING PLAN & TRUST
|
2014
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141710094
|
2015-04-29
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
18
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
64 HINRICHSEN HEIGHTS, COXSACKIE, NY, 12051
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
JAMES CLARK |
|
|
CLARK HOME RESPIRATORY 401K PROFIT SHARING PLAN
|
2013
|
141710094
|
2014-09-26
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
64 HINRICHSEN HEIGHTS, COXSACKIE, NY, 12051
|
Signature of
Role |
Plan administrator |
Date |
2014-09-26 |
Name of individual signing |
JAMES CLARK |
|
|
CLARK HOME RESPIRATORY 401K PROFIT SHARING PLAN
|
2012
|
141710094
|
2013-09-23
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414
|
Signature of
Role |
Plan administrator |
Date |
2013-09-23 |
Name of individual signing |
JAMES L CLARK JR |
|
|
CLARK HOME RESPIRATORY 401K PROFIT SHARING PLAN
|
2011
|
141710094
|
2012-09-17
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414
|
Plan administrator’s name and address
Administrator’s EIN |
141710094 |
Plan administrator’s name |
CLARK HOME RESPIRATORY SUPPLY, INC. |
Plan administrator’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414 |
Administrator’s telephone number |
5189433456 |
Signature of
Role |
Plan administrator |
Date |
2012-09-17 |
Name of individual signing |
JAMES CLARK |
|
|
CLARK HOME RESPIRATORY 401K PROFIT SHARING PLAN
|
2010
|
141710094
|
2011-07-13
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414
|
Plan administrator’s name and address
Administrator’s EIN |
141710094 |
Plan administrator’s name |
CLARK HOME RESPIRATORY SUPPLY, INC. |
Plan administrator’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414 |
Administrator’s telephone number |
5189433456 |
Signature of
Role |
Plan administrator |
Date |
2011-06-15 |
Name of individual signing |
JAMES CLARK, JR. |
|
|
CLARK HOME RESPIRATORY 401K PROFIT SHARING PLAN
|
2009
|
141710094
|
2010-07-28
|
CLARK HOME RESPIRATORY SUPPLY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5189433456
|
Plan sponsor’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414
|
Plan administrator’s name and address
Administrator’s EIN |
141710094 |
Plan administrator’s name |
CLARK HOME RESPIRATORY SUPPLY, INC. |
Plan administrator’s
address |
168 JEFFERSON HEIGHTS, CATSKILL, NY, 12414 |
Administrator’s telephone number |
5189433456 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JAMES CLARK |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
CLARK HOME RESPIRATORY SUPPLY, INC. |
|
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