|
ASHLEY MANOR, LLC 401(K) PLAN
|
2021
|
155671934
|
2023-09-12
|
ASHLEY MANOR, LLC
|
431
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
2082292057
|
| Plan sponsor’s mailing address |
PO BOX 1176, MERIDIAN, ID, 836801176
|
| Plan sponsor’s
address |
PO BOX 1176, MERIDIAN, ID, 836801176
|
Number of participants as of the end of the plan year
| Active participants |
226 |
| Retired or separated participants receiving
benefits |
121 |
| Number of
participants
with
account balances as of the end of the plan year |
204 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
113 |
Signature of
| Role |
Plan administrator |
| Date |
2023-09-12 |
| Name of individual signing |
JASON EBERHARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-09-12 |
| Name of individual signing |
JASON EBERHARD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ASHLEY MANOR, LLC 401(K) PLAN
|
2009
|
155671934
|
2010-10-04
|
ASHLEY MANOR, LLC
|
113
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083767298
|
| Plan sponsor’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713
|
Plan administrator’s name and address
| Administrator’s EIN |
155671934 |
| Plan administrator’s name |
ASHLEY MANOR, LLC |
| Plan administrator’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713 |
| Administrator’s telephone number |
2083767298 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
KEITH FLETCHER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-04 |
| Name of individual signing |
KEITH FLETCHER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ASHLEY MANOR, LLC 401(K) PLAN
|
2009
|
155671934
|
2010-10-04
|
ASHLEY MANOR, LLC
|
113
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083767298
|
| Plan sponsor’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713
|
Plan administrator’s name and address
| Administrator’s EIN |
155671934 |
| Plan administrator’s name |
ASHLEY MANOR, LLC |
| Plan administrator’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713 |
| Administrator’s telephone number |
2083767298 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2010-10-04 |
| Name of individual signing |
KEITH FLETCHER |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
ASHLEY MANOR, LLC 401(K) PLAN
|
2009
|
155671934
|
2010-10-04
|
ASHLEY MANOR, LLC
|
113
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
621210
|
| Sponsor’s telephone number |
2083767298
|
| Plan sponsor’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713
|
Plan administrator’s name and address
| Administrator’s EIN |
155671934 |
| Plan administrator’s name |
ASHLEY MANOR, LLC |
| Plan administrator’s
address |
3749 N. CLOVERDALE, BOISE, ID, 83713 |
| Administrator’s telephone number |
2083767298 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
KEITH FLETCHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-04 |
| Name of individual signing |
KEITH FLETCHER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
