|
PROVIDENCE PAVILION PROFIT SHARING PLAN
|
2015
|
264328597
|
2016-04-06
|
GC HOME HOLDINGS, LLC
|
38
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5133172311
|
| Plan
sponsor’s DBA name |
DBA PROVIDENCE PAVILION
|
| Plan sponsor’s
address |
401 E 20TH STREET, COVINGTON, KY, 410141585
|
Signature of
| Role |
Plan administrator |
| Date |
2016-04-06 |
| Name of individual signing |
GEORGE S. HAGAN IV |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVIDENCE PAVILION PROFIT SHARING PLAN
|
2014
|
264328597
|
2015-03-26
|
GC HOME HOLDINGS, LLC
|
37
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5133172311
|
| Plan
sponsor’s DBA name |
DBA PROVIDENCE PAVILION
|
| Plan sponsor’s
address |
401 E 20TH STREET, COVINGTON, KY, 410141585
|
Signature of
| Role |
Plan administrator |
| Date |
2015-03-26 |
| Name of individual signing |
GEORGE S. HAGAN IV |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVIDENCE PAVILION PROFIT SHARING PLAN
|
2013
|
264328597
|
2014-10-10
|
GC HOME HOLDINGS, LLC
|
34
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5133172311
|
| Plan
sponsor’s DBA name |
DBA PROVIDENCE PAVILION
|
| Plan sponsor’s
address |
401 E 20TH STREET, COVINGTON, KY, 410141585
|
Signature of
| Role |
Plan administrator |
| Date |
2014-10-10 |
| Name of individual signing |
GEORGE S. HAGAN IV |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVIDENCE PAVILION PROFIT SHARING PLAN
|
2013
|
264328597
|
2014-04-15
|
GC HOME HOLDINGS, LLC
|
35
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5133172311
|
| Plan
sponsor’s DBA name |
DBA PROVIDENCE PAVILION
|
| Plan sponsor’s
address |
401 E 20TH STREET, COVINGTON, KY, 410141585
|
Signature of
| Role |
Plan administrator |
| Date |
2014-04-15 |
| Name of individual signing |
GEORGE S. HAGAN IV |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PROVIDENCE PAVILION PROFIT SHARING PLAN
|
2012
|
264328597
|
2013-10-15
|
GC HOME HOLDINGS, LLC
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
5133172311
|
| Plan
sponsor’s DBA name |
DBA PROVIDENCE PAVILION
|
| Plan sponsor’s
address |
401 E 20TH STREET, COVINGTON, KY, 410141585
|
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
GEORGE S. HAGAN IV |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
