|
DERBY CITY REHAB LLC 401K PLAN
|
2017
|
900649685
|
2019-10-01
|
DERBY CITY REHAB LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-06-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5024396010
|
| Plan sponsor’s
address |
1300 SOUTH 4TH ST STE 240, LOUISVILLE, KY, 40208
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-01 |
| Name of individual signing |
MALGORZATA ZUCZEK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERBY CITY REHAB LLC 401K PLAN
|
2016
|
900649685
|
2017-09-19
|
DERBY CITY REHAB LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-06-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5024396010
|
| Plan sponsor’s
address |
1300 SOUTH 4TH ST STE 240, LOUISVILLE, KY, 40208
|
Signature of
| Role |
Plan administrator |
| Date |
2017-09-19 |
| Name of individual signing |
MALGORZATA ZUCZEK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DERBY CITY REHAB LLC 401K PLAN
|
2015
|
900649685
|
2016-08-11
|
DERBY CITY REHAB LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-06-01
|
| Business code |
624310
|
| Sponsor’s telephone number |
5024396010
|
| Plan sponsor’s
address |
1300 SOUTH 4TH ST STE 240, LOUISVILLE, KY, 40208
|
Signature of
| Role |
Plan administrator |
| Date |
2016-08-11 |
| Name of individual signing |
MALGORZATA ZUCZEK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
