|
ICARE 401(K) PLAN
|
2023
|
464345873
|
2024-09-17
|
ICARE SUPPORTED LIVING INC.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
812 1ST ST. SO., NAMPA, ID, 83651
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-17 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE401K PLAN
|
2023
|
464345873
|
2025-03-10
|
ICARE SUPPORTED LIVING INC.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
812 1ST ST S, NAMPA, ID, 836513808
|
Signature of
| Role |
Plan administrator |
| Date |
2025-03-10 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2025-03-10 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE 401(K) PLAN
|
2023
|
464345873
|
2025-03-10
|
ICARE SUPPORTED LIVING INC.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
812 1ST ST. SO., NAMPA, ID, 83651
|
Signature of
| Role |
Plan administrator |
| Date |
2025-03-10 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE 401(K) PLAN
|
2022
|
464345873
|
2023-10-02
|
ICARE SUPPORTED LIVING INC.
|
35
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
4840 N. ROSEPOINT WAY, SUITE C, BOISE, ID, 83713
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-02 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE 401(K) PLAN
|
2022
|
464345873
|
2023-10-02
|
ICARE SUPPORTED LIVING INC.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
812 1ST ST S, NAMPA, ID, 83651
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-02 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE 401(K) PLAN
|
2021
|
464345873
|
2022-10-10
|
ICARE SUPPORTED LIVING INC.
|
44
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
4840 N. ROSEPOINT WAY, SUITE C, BOISE, ID, 83713
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-10 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ICARE 401(K) PLAN
|
2020
|
464345873
|
2021-10-08
|
ICARE SUPPORTED LIVING INC.
|
24
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2089145615
|
| Plan sponsor’s
address |
4840 N. ROSEPOINT WAY, SUITE C, BOISE, ID, 83713
|
Signature of
| Role |
Plan administrator |
| Date |
2021-10-08 |
| Name of individual signing |
CARI GILBERT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
