GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2018
|
610656880
|
2019-07-15
|
GRAYSON HOUSING, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 WILLIAM THOMASON BYU # 1, LEITCHFIELD, KY, 427541419
|
Signature of
Role |
Plan administrator |
Date |
2019-07-12 |
Name of individual signing |
DEBRA BOONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2017
|
610656880
|
2018-09-17
|
GRAYSON HOUSING, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2018-09-17 |
Name of individual signing |
DEBRA BOONE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2016
|
610656880
|
2017-03-03
|
GRAYSON HOUSING, INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2017-03-03 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2015
|
610656880
|
2016-09-21
|
GRAYSON HOUSING, INC.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 E LAKE DR STE 1, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-21 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2014
|
610656880
|
2015-05-14
|
GRAYSON HOUSING, INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2015-05-11 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-11 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2013
|
610656880
|
2014-02-26
|
GRAYSON HOUSING, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2014-02-24 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-02-24 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2012
|
610656880
|
2013-03-13
|
GRAYSON HOUSING, INC.
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Signature of
Role |
Plan administrator |
Date |
2013-03-13 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-13 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2011
|
610656880
|
2012-07-03
|
GRAYSON HOUSING, INC.
|
115
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Plan administrator’s name and address
Administrator’s EIN |
610656880 |
Plan administrator’s name |
GRAYSON HOUSING, INC. |
Plan administrator’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498 |
Administrator’s telephone number |
2702594028 |
Signature of
Role |
Plan administrator |
Date |
2012-07-03 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2010
|
610656880
|
2011-04-05
|
GRAYSON HOUSING, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Plan administrator’s name and address
Administrator’s EIN |
610656880 |
Plan administrator’s name |
GRAYSON HOUSING, INC. |
Plan administrator’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498 |
Administrator’s telephone number |
2702594028 |
Signature of
Role |
Plan administrator |
Date |
2011-03-31 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GRAYSON MANOR NURSING HOME RETIREMENT SAVINGS PLAN
|
2009
|
610656880
|
2010-07-28
|
GRAYSON HOUSING, INC.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
2702594028
|
Plan sponsor’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498
|
Plan administrator’s name and address
Administrator’s EIN |
610656880 |
Plan administrator’s name |
GRAYSON HOUSING, INC. |
Plan administrator’s
address |
505 EAST LAKE DRIVE, LEITCHFIELD, KY, 427541498 |
Administrator’s telephone number |
2702594028 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JOSEPH VANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|