LAFAYETTE NURSING HOME LLC 401K PLAN
|
2023
|
200420319
|
2024-03-06
|
LAFAYETTE NURSING HOME LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2024-03-06 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2022
|
200420319
|
2023-08-18
|
LAFAYETTE NURSING HOME LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2023-08-18 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2021
|
200420319
|
2022-09-23
|
LAFAYETTE NURSING HOME LLC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2022-09-23 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2020
|
200420319
|
2021-09-30
|
LAFAYETTE NURSING HOME LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2019
|
200420319
|
2020-07-02
|
LAFAYETTE NURSING HOME LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2020-07-02 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2018
|
200420319
|
2019-02-19
|
LAFAYETTE NURSING HOME LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2019-02-19 |
Name of individual signing |
JOHN HOLMES |
|
|
LAFAYETTE NURSING HOME LLC 401K PLAN
|
2017
|
200420319
|
2018-09-26
|
LAFAYETTE NURSING HOME LLC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
3348649371
|
Plan sponsor’s
address |
555 B STREET S W, LAFAYETTE, AL, 36862
|
Signature of
Role |
Plan administrator |
Date |
2018-09-26 |
Name of individual signing |
TOMMY F PIKE |
|
|