ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2023
|
631225408
|
2024-10-11
|
ENCORE REHABILITATION, INC.
|
664
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan
sponsor’s DBA name |
NA
|
Plan sponsor’s mailing address |
251 JOHNSTON ST STE 200, NA, DECATUR, AL, 35601
|
Plan sponsor’s
address |
251 JOHNSTON ST STE 200, NA, DECATUR, AL, 35601
|
Plan administrator’s name and address
Administrator’s EIN |
631225408 |
Plan administrator’s name |
ENCORE REHABILITATION, INC. |
Plan administrator’s
address |
NA, 251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012535 |
Administrator’s telephone number |
2563501764 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2023
|
631225408
|
2024-10-11
|
ENCORE REHABILITATION, INC.
|
664
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan
sponsor’s DBA name |
NA
|
Plan sponsor’s mailing address |
251 JOHNSTON ST STE 200, NA, DECATUR, AL, 35601
|
Plan sponsor’s
address |
251 JOHNSTON ST STE 200, NA, DECATUR, AL, 35601
|
Plan administrator’s name and address
Administrator’s EIN |
631225408 |
Plan administrator’s name |
ENCORE REHABILITATION, INC. |
Plan administrator’s
address |
NA, 251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012535 |
Administrator’s telephone number |
2563501764 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2021
|
631225408
|
2022-09-29
|
ENCORE REHABILITATION, INC.
|
962
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Number of participants as of the end of the plan year
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-29 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2020
|
631225408
|
2021-10-15
|
ENCORE REHABILITATION, INC.
|
831
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2020
|
631225408
|
2021-10-15
|
ENCORE REHABILITATION, INC.
|
831
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-10-15 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2019
|
631225408
|
2020-11-03
|
ENCORE REHABILITATION, INC.
|
862
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-11-03 |
Name of individual signing |
PERRY BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2020-11-03 |
Name of individual signing |
PERRY BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2019
|
631225408
|
2020-10-14
|
ENCORE REHABILITATION, INC.
|
862
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
PERRY BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC. HEALTH AND WELFARE PLAN
|
2018
|
631225408
|
2019-10-15
|
ENCORE REHABILITATION, INC.
|
775
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan administrator’s name and address
Administrator’s EIN |
631225408 |
Plan administrator’s name |
ENCORE REHABILITATION, INC. |
Plan administrator’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515 |
Administrator’s telephone number |
2563501764 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
PERRY BAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC HEALTH AND WELFARE PLAN
|
2017
|
631225408
|
2018-10-17
|
ENCORE REHABILITATION, INC
|
716
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan administrator’s name and address
Administrator’s EIN |
631225408 |
Plan administrator’s name |
ENCORE REHABILITATION, INC |
Plan administrator’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515 |
Administrator’s telephone number |
2563501764 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-17 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-17 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENCORE REHABILITATION, INC HEALTH AND WELFARE PLAN
|
2017
|
631225408
|
2018-10-15
|
ENCORE REHABILITATION, INC
|
716
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
621340
|
Sponsor’s telephone number |
2563501764
|
Plan sponsor’s mailing address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan sponsor’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515
|
Plan administrator’s name and address
Administrator’s EIN |
631225408 |
Plan administrator’s name |
ENCORE REHABILITATION, INC |
Plan administrator’s
address |
251 JOHNSTON ST SE STE 200, DECATUR, AL, 356012515 |
Administrator’s telephone number |
2563501764 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
PAUL HENDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|