ST. JAMES HEALTHCARE CENTER 401(K) PLAN
|
2012
|
112205148
|
2013-07-23
|
ST. JAMES HEALTHCARE CENTER
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318628000
|
Plan sponsor’s mailing address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan sponsor’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan administrator’s name and address
Administrator’s EIN |
112205148 |
Plan administrator’s name |
ST. JAMES HEALTHCARE CENTER |
Plan administrator’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780 |
Administrator’s telephone number |
6318628000 |
Number of participants as of the end of the plan year
Active participants |
102 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
23 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
92 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
YOSSIE ZUCKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JAMES HEALTHCARE CENTER 401(K) PLAN
|
2011
|
112205148
|
2012-06-13
|
ST. JAMES HEALTHCARE CENTER
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318628000
|
Plan sponsor’s mailing address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan sponsor’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan administrator’s name and address
Administrator’s EIN |
112205148 |
Plan administrator’s name |
ST. JAMES HEALTHCARE CENTER |
Plan administrator’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780 |
Administrator’s telephone number |
6318628000 |
Number of participants as of the end of the plan year
Active participants |
67 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
20 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
86 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-06-13 |
Name of individual signing |
ANN TALIENTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JAMES HEALTHCARE CENTER 401(K) PLAN
|
2010
|
112205148
|
2011-07-14
|
ST. JAMES HEALTHCARE CENTER
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318628000
|
Plan sponsor’s mailing address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan sponsor’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan administrator’s name and address
Administrator’s EIN |
112205148 |
Plan administrator’s name |
ST. JAMES HEALTHCARE CENTER |
Plan administrator’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780 |
Administrator’s telephone number |
6318628000 |
Number of participants as of the end of the plan year
Active participants |
67 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
84 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
ANN TALIENTO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JAMES HEALTHCARE CENTER 401(K) PLAN
|
2009
|
112205148
|
2010-08-26
|
ST. JAMES HEALTHCARE CENTER
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6318628000
|
Plan sponsor’s mailing address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan sponsor’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780
|
Plan administrator’s name and address
Administrator’s EIN |
112205148 |
Plan administrator’s name |
ST. JAMES HEALTHCARE CENTER |
Plan administrator’s
address |
275 MORICHES RD., ST. JAMES, NY, 11780 |
Administrator’s telephone number |
6318628000 |
Number of participants as of the end of the plan year
Active participants |
71 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
17 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
86 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-08-24 |
Name of individual signing |
WILLIAM ST GEORGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|