MCPEAK'S ADULT HOME 401(K) PLAN
|
2023
|
113353037
|
2024-10-01
|
MCPEAK'S ADULT HOME
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
JAMES MCPEAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2022
|
113353037
|
2023-09-21
|
MCPEAK'S ADULT HOME
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750445
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2023-09-21 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2021
|
113353037
|
2022-07-21
|
MCPEAK'S ADULT HOME
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2022-07-21 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2020
|
113353037
|
2021-10-13
|
MCPEAK'S ADULT HOME
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2020
|
113353037
|
2021-07-29
|
MCPEAK'S ADULT HOME
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2021-07-29 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2020
|
113353037
|
2021-10-12
|
MCPEAK'S ADULT HOME
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2019
|
113353037
|
2020-08-14
|
MCPEAK'S ADULT HOME
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2020-08-14 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAK'S ADULT HOME 401(K) PLAN
|
2018
|
113353037
|
2019-09-03
|
MCPEAK'S ADULT HOME
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750044
|
Plan sponsor’s
address |
286 N OCEAN AVENUE, PATCHOGUE, NY, 11772
|
Signature of
Role |
Plan administrator |
Date |
2019-09-03 |
Name of individual signing |
JAMES MCPEAK |
|
|
MCPEAKS ADULT HOME 401(K) PLAN
|
2017
|
113353037
|
2018-07-17
|
MCPEAK'S ADULT HOME
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-04-13
|
Business code |
623000
|
Sponsor’s telephone number |
6314750445
|
Plan sponsor’s
address |
286 N. OCEAN AVE., PATCHOGUE, NY, 117722010
|
Signature of
Role |
Plan administrator |
Date |
2018-05-07 |
Name of individual signing |
JAMES MCPEAK |
|
Role |
Employer/plan sponsor |
Date |
2018-05-07 |
Name of individual signing |
MCPEAK'S ADULT HOME |
|
|