HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2023
|
721351629
|
2024-10-08
|
PAHOS, INC
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan
sponsor’s DBA name |
HOME INSTEAD SENIOR CARE
|
Plan sponsor’s
address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Plan administrator’s name and address
Administrator’s EIN |
621200951 |
Plan administrator’s name |
TOMMY HORST |
Plan administrator’s
address |
PO BOX 24628, KNOXVILLE, TN, 37933 |
Administrator’s telephone number |
8659661225 |
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
TOMMY HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2022
|
721351629
|
2023-10-13
|
PAHOS, INC
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan
sponsor’s DBA name |
HOME INSTEAD SENIOR CARE
|
Plan sponsor’s mailing address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Plan sponsor’s
address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Number of participants as of the end of the plan year
Active participants |
125 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
15 |
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 |
48 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
TOMMY HORST |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2021
|
721351629
|
2023-08-30
|
PAHOS, INC
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan
sponsor’s DBA name |
HOME INSTEAD SENIOR CARE
|
Plan sponsor’s mailing address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Plan sponsor’s
address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Number of participants as of the end of the plan year
Active participants |
114 |
Retired or separated participants receiving
benefits |
16 |
Number of
participants
with
account balances as of the end of the plan year |
48 |
Signature of
Role |
Employer/plan sponsor |
Date |
2023-08-30 |
Name of individual signing |
DANIEL PAHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2021
|
721351629
|
2022-10-14
|
PAHOS, INC
|
185
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan
sponsor’s DBA name |
HOME INSTEAD SENIOR CARE
|
Plan sponsor’s mailing address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Plan sponsor’s
address |
2059 COLUMBIANA RD STE 105, VESTAVIA HILLS, AL, 352162155
|
Number of participants as of the end of the plan year
Active participants |
114 |
Retired or separated participants receiving
benefits |
16 |
Number of
participants
with
account balances as of the end of the plan year |
48 |
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
DANIEL PAHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-14 |
Name of individual signing |
DANIEL PAHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2017
|
721351629
|
2018-07-25
|
PAHOS, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan sponsor’s
address |
2059 COLUMBIANA ROAD, SUITE 105, BIRMINGHAM, AL, 35216
|
Signature of
Role |
Plan administrator |
Date |
2018-07-25 |
Name of individual signing |
DAN PAHOS |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2016
|
721351629
|
2017-09-06
|
PAHOS, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan sponsor’s
address |
2059 COLUMBIANA ROAD, SUITE 105, BIRMINGHAM, AL, 35216
|
Signature of
Role |
Plan administrator |
Date |
2017-09-06 |
Name of individual signing |
DAN PAHOS |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2015
|
721351629
|
2016-07-29
|
PAHOS, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan sponsor’s
address |
2059 COLUMBIANA ROAD, SUITE 105, BIRMINGHAM, AL, 35216
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
DAN PAHOS |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2014
|
721351629
|
2015-07-21
|
PAHOS, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan sponsor’s
address |
2059 COLUMBIANA ROAD, SUITE 105, BIRMINGHAM, AL, 35216
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
DAN PAHOS |
|
|
HOME INSTEAD SENIOR CARE RETIREMENT PLAN
|
2013
|
721351629
|
2014-10-14
|
PAHOS, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-04-01
|
Business code |
621498
|
Sponsor’s telephone number |
2058221915
|
Plan
sponsor’s DBA name |
HOME INSTEAD SENIOR CARE
|
Plan sponsor’s
address |
2059 COLUMBIANA ROAD, SUITE 105, BIRMINGHAM, AL, 35216
|
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
DAN PAHOS |
|
|