|
EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST
|
2017
|
271478697
|
2018-01-29
|
EVERGREEN COMMUNITY SUPPORTS, LLC
|
70
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-09-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8597455808
|
| Plan sponsor’s
address |
207 BREEZE HILL DR, WINCHESTER, KY, 40391
|
Signature of
| Role |
Plan administrator |
| Date |
2018-01-29 |
| Name of individual signing |
JEFF JUSTICE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST
|
2016
|
271478697
|
2017-07-17
|
EVERGREEN COMMUNITY SUPPORTS, LLC
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-09-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8597455808
|
| Plan sponsor’s
address |
207 BREEZE HILL DR, WINCHESTER, KY, 40391
|
Signature of
| Role |
Plan administrator |
| Date |
2017-07-17 |
| Name of individual signing |
JEFF JUSTICE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST
|
2015
|
271478697
|
2016-07-14
|
EVERGREEN COMMUNITY SUPPORTS, LLC
|
30
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-09-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8597455808
|
| Plan sponsor’s
address |
207 BREEZE HILL DR, WINCHESTER, KY, 40391
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-14 |
| Name of individual signing |
JOHN WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST
|
2014
|
271478697
|
2015-07-14
|
EVERGREEN COMMUNITY SUPPORTS, LLC
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-09-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8597455808
|
| Plan sponsor’s
address |
207 BREEZE HILL DR, WINCHESTER, KY, 40391
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-14 |
| Name of individual signing |
JEFFEREY JUSTICE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN COMMUNITY SUPPORTS, LLC RETIREMENT TRUST
|
2013
|
271478697
|
2014-07-31
|
EVERGREEN COMMUNITY SUPPORTS, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2013-09-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
8597455808
|
| Plan sponsor’s
address |
207 BREEZE HILL, WINCHESTER, KY, 40391
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-31 |
| Name of individual signing |
JOHN M WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-07-31 |
| Name of individual signing |
JOHN M WILLIAMS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
