Pinnacle Behavioral Health, Inc.

Contacts

Phone	+1 256-518-9998

Authorized person

Name	MRS. SHELIA FOX
Role	CFO
Phone	2565189998

Taxonomy

Taxonomy Code	276400000X - Substance Use Disorder Rehabilitation Hospital Unit
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	624100
Sponsor’s telephone number	2565189998
Plan sponsor’s address	4812 COMMERCIAL DRIVE, HUNTSVILLE, AL, 35816

Plan administrator’s name and address

Administrator’s EIN	823719843
Plan administrator’s name	FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address	PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number	8557115283

Signature of

Role	Plan administrator
Date	2024-09-26
Name of individual signing	ERIC QUELLA
Valid signature	Filed with authorized/valid electronic signature

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	624100
Sponsor’s telephone number	2565189998
Plan sponsor’s address	4812 COMMERCIAL DRIVE NW, HUNTSVILLE, AL, 35816

Plan administrator’s name and address

Administrator’s EIN	823719843
Plan administrator’s name	FUTUREPLAN FIDUCIARY SERVICES LLC
Plan administrator’s address	PO BOX 55757, BOSTON, MA, 02205
Administrator’s telephone number	8557115283

Signature of

Role	Plan administrator
Date	2023-09-18
Name of individual signing	ERIC QUELLA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	4812 COMMERCIAL DRIVE NW, HUNTSVILLE, AL, 35816

Signature of

Role	Plan administrator
Date	2022-10-05
Name of individual signing	ERIC QUELLA

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	500 GOVERNORS DR, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2021-06-10
Name of individual signing	KAREN LEE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	500 GOVERNORS DR, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2020-07-28
Name of individual signing	KAREN O. LEE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	500 GOVERNORS DR, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2019-07-11
Name of individual signing	KAREN O. LEE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	500 GOVERNORS DR, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2018-07-10
Name of individual signing	KAREN O. LEE

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2007-12-01
Business code	611000
Sponsor’s telephone number	2565189998
Plan sponsor’s address	500 GOVERNORS DR, HUNTSVILLE, AL, 35801

Signature of

Role	Plan administrator
Date	2017-07-31
Name of individual signing	KAREN O. LEE