MATRIX QUALITY CARE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
133848923
|
2022-05-11
|
MATRIX QUALITY CARE INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
446190
|
Sponsor’s telephone number |
5182202613
|
Plan sponsor’s
address |
PO BOX 460, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2022-05-11 |
Name of individual signing |
MARK G ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
133848923
|
2021-06-30
|
MATRIX QUALITY CARE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2021-02-04
|
MATRIX QUALITY CARE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2021-02-04 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2021-02-15
|
MATRIX QUALITY CARE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2021-02-15 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2020-08-28
|
MATRIX QUALITY CARE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2020-08-28 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2020-10-12
|
MATRIX QUALITY CARE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2020-10-12 |
Name of individual signing |
MARK ROACH |
|
Role |
Employer/plan sponsor |
Date |
2020-10-12 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2021-01-19
|
MATRIX QUALITY CARE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2021-01-19 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
133848923
|
2021-02-19
|
MATRIX QUALITY CARE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5183697720
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, SUITE 3, LATHAM, NY, 12110
|
Signature of
Role |
Plan administrator |
Date |
2021-02-19 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
133848923
|
2019-03-14
|
MATRIX QUALITY CARE INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5182202613
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, STE 3, LATHAM, NY, 121101419
|
Signature of
Role |
Plan administrator |
Date |
2019-03-14 |
Name of individual signing |
MARK ROACH |
|
|
MATRIX QUALITY CARE INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
133848923
|
2018-05-04
|
MATRIX QUALITY CARE INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
5182202613
|
Plan sponsor’s
address |
19 BRITISH AMERICAN BLVD W, STE 3, LATHAM, NY, 121101419
|
Signature of
Role |
Plan administrator |
Date |
2018-05-04 |
Name of individual signing |
MARK G ROACH |
|
|