COMMUNICARE INC WELFARE BENEFIT PLAN
|
2023
|
841036738
|
2024-08-02
|
COMMUNICARE INC
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-02-28
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Plan sponsor’s
address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-29 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2024-07-29 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE INC WELFARE BENEFIT PLAN
|
2022
|
841036738
|
2023-07-18
|
COMMUNICARE INC
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-02-28
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Plan sponsor’s
address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2023-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE INC WELFARE BENEFIT PLAN
|
2021
|
841036738
|
2022-08-29
|
COMMUNICARE INC
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1996-02-28
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Plan sponsor’s
address |
40 W FRANKLIN RD STE F, MERIDIAN, ID, 836422992
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-08-29 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2014
|
841036738
|
2016-02-23
|
COMMUNICARE, INC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-27 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-27 |
Name of individual signing |
COMMUNICARE, INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2014
|
841036738
|
2015-10-27
|
COMMUNICARE, INC
|
110
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-10-27 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2013
|
841036738
|
2014-07-03
|
COMMUNICARE, INC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN,, STE F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-03 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2012
|
841036738
|
2013-07-18
|
COMMUNICARE, INC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN, F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2012
|
841036738
|
2013-07-18
|
COMMUNICARE, INC
|
110
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN, F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
DFE |
Date |
2013-07-18 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2011
|
841036738
|
2012-07-11
|
COMMUNICARE, INC
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN, F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-11 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNICARE, INC HRA
|
2010
|
841036738
|
2011-08-08
|
COMMUNICARE, INC
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-08-01
|
Business code |
623000
|
Sponsor’s telephone number |
2088881155
|
Plan sponsor’s mailing address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642
|
Plan sponsor’s
address |
40 W FRANKLIN, F, MERIDIAN, ID, 83642
|
Plan administrator’s name and address
Administrator’s EIN |
841036738 |
Plan administrator’s name |
COMMUNICARE, INC |
Plan administrator’s
address |
40 W FRANKLIN, F MERIDIAN, ID 83642, MERIDIAN, ID, 83642 |
Administrator’s telephone number |
2088881155 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-03 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-03 |
Name of individual signing |
TOM WHITTEMORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|