BEVERLY HOUSE INC. RETIREMENT PLAN
|
2011
|
112685941
|
2012-07-27
|
THE BEVERLY HOUSE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2126746123
|
Plan sponsor’s
address |
210 E 23RD STREET FIFTH FLOOR, NEW YORK, NY, 100104604
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
210 E 23RD STREET FIFTH FLOOR, NEW YORK, NY, 100104604 |
Administrator’s telephone number |
2126746123 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
SANDRA ENCARNACION |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
SANDRA ENCARNACION |
|
|
BEVERLY HOUSE INC. RETIREMENT PLAN
|
2010
|
112685941
|
2011-07-06
|
THE BEVERLY HOUSE, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2125606429
|
Plan sponsor’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981 |
Administrator’s telephone number |
2125606429 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
JAMES FLAHERTY |
|
Role |
Employer/plan sponsor |
Date |
2011-07-06 |
Name of individual signing |
JAMES FLAHERTY |
|
|
BEVERLY HOUSE INC. RETIREMENT PLAN
|
2010
|
112685941
|
2011-07-07
|
THE BEVERLY HOUSE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2125606429
|
Plan sponsor’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981 |
Administrator’s telephone number |
2125606429 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
JAMES FLAHERTY |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
JAMES FLAHERTY |
|
|
BEVERLY HOUSE INC. RETIREMENT PLAN
|
2010
|
112685941
|
2011-07-05
|
THE BEVERLY HOUSE, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2125606429
|
Plan sponsor’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981 |
Administrator’s telephone number |
2125606429 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
JAMES FLAHERTY |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
JAMES FLAHERTY |
|
|
BEVERLY HOUSE INC. RETIREMENT PLAN
|
2009
|
112685941
|
2011-07-13
|
THE BEVERLY HOUSE, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2125606429
|
Plan sponsor’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981 |
Administrator’s telephone number |
2125606429 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
JAMES FLAHERTY |
|
Role |
Employer/plan sponsor |
Date |
2011-07-13 |
Name of individual signing |
JAMES FLAHERTY |
|
|
BEVERLY HOUSE INC. RETIREMENT PLAN
|
2009
|
112685941
|
2010-06-14
|
THE BEVERLY HOUSE, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-12-30
|
Business code |
531114
|
Sponsor’s telephone number |
2125606429
|
Plan sponsor’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981
|
Plan administrator’s name and address
Administrator’s EIN |
112685941 |
Plan administrator’s name |
THE BEVERLY HOUSE, INC. |
Plan administrator’s
address |
CENTURY 7 PENN PLAZA STE 1400, NEW YORK, NY, 100013981 |
Administrator’s telephone number |
2125606429 |
Signature of
Role |
Plan administrator |
Date |
2010-06-14 |
Name of individual signing |
JAMES FLAHERTY |
|
Role |
Employer/plan sponsor |
Date |
2010-06-14 |
Name of individual signing |
JAMES FLAHERTY |
|
|