SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2015
|
133775756
|
2016-07-26
|
SILVER LAKE NURSING HOME, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2015
|
133775756
|
2016-07-26
|
SILVER LAKE NURSING HOME, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2016-07-26 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2014
|
133775756
|
2015-10-15
|
SILVER LAKE NURSING HOME, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2013
|
133775756
|
2014-10-14
|
SILVER LAKE NURSING HOME, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2012
|
133775756
|
2013-10-15
|
SILVER LAKE NURSING HOME, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
OTTO WEINGARTEN |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2011
|
133775756
|
2012-10-15
|
SILVER LAKE NURSING HOME, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
OTTO WEINGARTEN |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2010
|
133775756
|
2011-11-01
|
SILVER LAKE NURSING HOME, INC.
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2011-11-01 |
Name of individual signing |
OTTO WEINGARTEN |
|
Role |
Employer/plan sponsor |
Date |
2011-11-01 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|
SILVER LAKE NURSING HOME, INC. DEFINED BENEFIT PENSION PLAN
|
2009
|
133775756
|
2010-10-14
|
SILVER LAKE NURSING HOME, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1985-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7184477800
|
Plan sponsor’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301
|
Plan administrator’s name and address
Administrator’s EIN |
133775756 |
Plan administrator’s name |
SILVER LAKE NURSING HOME, INC. |
Plan administrator’s
address |
275 CASTLETON AVE, STATEN ISLAND, NY, 10301 |
Administrator’s telephone number |
7184477800 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
OTTO WEINGARTEN |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
JOAN GIEBELHAUS |
|
|