ADVANCED CARE STAFFING, LLC

Contact Information

POC	SAM KLEIN
Phone	+1 718-305-6700
Fax	+1 718-305-6700
Address	545 BROADWAY STE 3, BROOKLYN, NY, 11206 2962, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561300
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2024-10-08
Name of individual signing	LIZ JURADO
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2023-08-16
Name of individual signing	LIZ JURADO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2022-09-07
Name of individual signing	LIZ JURADO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2021-06-07
Name of individual signing	LIZ JURADO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2020-07-31
Name of individual signing	LIZ JURADO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2019-08-01
Name of individual signing	LIZ JURADO

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2017-01-01
Business code	561210
Sponsor’s telephone number	7183056700
Plan sponsor’s address	1000 GATES AVENUE, #5B, BROOKLYN, NY, 11221

Signature of

Role	Plan administrator
Date	2018-10-15
Name of individual signing	LIZ JURADO