ST. JOHNSVILLE REHABILITATION AND NURSING CENTER 401(K) PLAN
|
2018
|
201388111
|
2019-06-17
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
5185685037
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Signature of
Role |
Plan administrator |
Date |
2019-06-17 |
Name of individual signing |
CHRISTOPHER DURR |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER 401(K) PLAN
|
2017
|
201388111
|
2018-02-23
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
5185685037
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Signature of
Role |
Plan administrator |
Date |
2018-02-23 |
Name of individual signing |
MICHELE DYGERT |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER 401(K) PLAN
|
2016
|
201388111
|
2017-09-22
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
5185685037
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Signature of
Role |
Plan administrator |
Date |
2017-09-22 |
Name of individual signing |
MICHELE DYGERT |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER 401(K) PLAN
|
2015
|
201388111
|
2016-05-16
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
5185685037
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Signature of
Role |
Plan administrator |
Date |
2016-05-16 |
Name of individual signing |
MICHELE DYGERT |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN
|
2012
|
201388111
|
2014-04-28
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Plan sponsor’s mailing address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
2012
|
201388111
|
2014-04-28
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Plan sponsor’s mailing address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN
|
2011
|
201388111
|
2014-04-28
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Plan sponsor’s mailing address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan administrator’s name and address
Administrator’s EIN |
201388111 |
Plan administrator’s name |
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER |
Plan administrator’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-31 |
Name of individual signing |
MICHELE DYGERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN
|
2011
|
201388111
|
2013-01-29
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
81
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan administrator’s name and address
Administrator’s EIN |
201388111 |
Plan administrator’s name |
ST. JOHNSVILLE REHABILITATION AND N |
Plan administrator’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452 |
Signature of
Role |
Plan administrator |
Date |
2013-01-23 |
Name of individual signing |
MICHELE DYGERT |
|
Role |
Employer/plan sponsor |
Date |
2013-01-23 |
Name of individual signing |
MICHELE DYGERT |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
2011
|
201388111
|
2012-06-19
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-01-01
|
Business code |
623000
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan administrator’s name and address
Administrator’s EIN |
201388111 |
Plan administrator’s name |
ST. JOHNSVILLE REHABILITATION AND N |
Plan administrator’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
LISA VOLK |
|
Role |
Employer/plan sponsor |
Date |
2012-06-15 |
Name of individual signing |
LISA VOLK |
|
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER DENTAL PLAN
|
2010
|
201388111
|
2012-06-11
|
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
5185685037
|
Plan sponsor’s mailing address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan sponsor’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452
|
Plan administrator’s name and address
Administrator’s EIN |
201388111 |
Plan administrator’s name |
ST. JOHNSVILLE REHABILITATION AND NURSING CENTER |
Plan administrator’s
address |
7 TIMMERMAN AVENUE, ST. JOHNSVILLE, NY, 13452 |
Administrator’s telephone number |
5185685037 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-05-23 |
Name of individual signing |
LISA VOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-23 |
Name of individual signing |
LISA VOLK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|