FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2023
|
161504464
|
2024-09-05
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2024-09-05 |
Name of individual signing |
JEREMY PAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-05 |
Name of individual signing |
JEREMY PAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2022
|
161504464
|
2023-09-19
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2023-09-19 |
Name of individual signing |
TODD BLANCHARD |
|
Role |
Employer/plan sponsor |
Date |
2023-09-19 |
Name of individual signing |
TODD BLANCHARD |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2021
|
161504464
|
2022-10-06
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
KEVIN HARRINGTON |
|
Role |
Employer/plan sponsor |
Date |
2022-10-06 |
Name of individual signing |
KEVIN HARRINGTON |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2020
|
161504464
|
2021-10-14
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
KEVIN HARRINGTON |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
KEVIN HARRINGTON |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2019
|
161504464
|
2020-09-17
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2020-09-17 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2020-09-17 |
Name of individual signing |
BETTY HORRIGAN |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2018
|
161504464
|
2019-10-01
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
BETTY HORRIGAN |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2017
|
161504464
|
2019-10-01
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2019-10-01 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2019-10-01 |
Name of individual signing |
BETTY HORRIGAN |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2017
|
161504464
|
2018-10-12
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
BETTY HORRIGAN |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2017
|
161504464
|
2018-10-12
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
BETTY HORRIGAN |
|
|
FIRST COMMUNITY CARE OF BASSETT, LLC 401 (K) PLAN
|
2016
|
161504464
|
2017-10-03
|
FIRST COMMUNITY CARE OF BASSETT, LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
6075472173
|
Plan sponsor’s
address |
12 COMMONS DRIVE, SUITE18, COOPERSTOWN, NY, 13326
|
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
BETTY HORRIGAN |
|
Role |
Employer/plan sponsor |
Date |
2017-10-03 |
Name of individual signing |
BETTY HORRIGAN |
|
|