|
COTTAGE SENIOR LIVING, INC. 401(K) PLAN
|
2022
|
203939865
|
2023-05-19
|
COTTAGE SENIOR LIVING, INC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2565365992
|
| Plan sponsor’s
address |
2820 15TH AVE. SW, HUNTSVILLE, AL, 35805
|
Signature of
| Role |
Plan administrator |
| Date |
2023-05-19 |
| Name of individual signing |
ALICIA CHARGUALAF |
|
|
|
COTTAGE SENIOR LIVING, INC. 401(K) PLAN
|
2022
|
203939865
|
2023-07-11
|
COTTAGE SENIOR LIVING, INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2565365992
|
| Plan sponsor’s
address |
2820 15TH AVE. SW, HUNTSVILLE, AL, 35805
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
ALICIA CHARGUALAF |
|
|
|
COTTAGE SENIOR LIVING, INC. 401(K) PLAN
|
2021
|
203939865
|
2022-07-06
|
COTTAGE SENIOR LIVING, INC.
|
18
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2565365992
|
| Plan sponsor’s
address |
2820 15TH AVE. SW, HUNTSVILLE, AL, 35805
|
Signature of
| Role |
Plan administrator |
| Date |
2022-07-06 |
| Name of individual signing |
ALICIA CHARGUALAF |
|
|
|
COTTAGE SENIOR LIVING, INC. 401(K) PLAN
|
2020
|
203939865
|
2021-04-06
|
COTTAGE SENIOR LIVING, INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2565365992
|
| Plan sponsor’s
address |
2820 15TH AVE. SW, HUNTSVILLE, AL, 35805
|
Signature of
| Role |
Plan administrator |
| Date |
2021-04-06 |
| Name of individual signing |
ALICIA CHARGUALAF |
|
|
|
THE COTTAGES
|
2017
|
203939865
|
2018-11-20
|
COTTAGE SENIOR LIVING, INC.
|
100
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-06-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2563610085
|
| Plan
sponsor’s DBA name |
THE COTTAGES
|
| Plan sponsor’s mailing address |
2820 15TH AVE SW, HUNTSVILLE, AL, 358054610
|
| Plan sponsor’s
address |
2820 15TH AVE SW, HUNTSVILLE, AL, 358054610
|
Number of participants as of the end of the plan year
| Active participants |
100 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2018-11-20 |
| Name of individual signing |
ALICIA CHARGUALAF |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-11-20 |
| Name of individual signing |
ALICIA CHARGUALAF |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
