COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2023
|
160955793
|
2024-07-10
|
PLAZA NURSING HOME COMPANY, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2024-07-10 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2024-07-10 |
Name of individual signing |
ADAM FITZGERALD |
|
|
COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2022
|
160955793
|
2023-07-10
|
PLAZA NURSING HOME COMPANY, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2023-07-07 |
Name of individual signing |
ADAM FITZGERALD |
|
|
COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2021
|
160955793
|
2022-07-06
|
PLAZA NURSING HOME COMPANY, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2022-07-06 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2022-07-06 |
Name of individual signing |
ADAM FITZGERALD |
|
|
COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2020
|
160955793
|
2021-07-08
|
PLAZA NURSING HOME COMPANY, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2021-07-08 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2021-07-08 |
Name of individual signing |
ADAM FITZGERALD |
|
|
THE COTTAGES AT GARDEN GROVE
|
2019
|
160955979
|
2021-04-28
|
PLAZA NURSING HOME COMPANY INC
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-12-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154597412
|
Plan
sponsor’s DBA name |
THE COTTAGES AT GARDEN GROVE
|
Plan sponsor’s mailing address |
5460 MELTZER CT, CICERO, NY, 130399430
|
Plan sponsor’s
address |
5460 MELTZER CT, CICERO, NY, 130399430
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
ADAM FITZGERALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-28 |
Name of individual signing |
ADAM FITZGERALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2019
|
160955793
|
2020-06-26
|
PLAZA NURSING HOME COMPANY, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2020-06-26 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2020-06-26 |
Name of individual signing |
ADAM FITZGERALD |
|
|
RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.
|
2019
|
160955793
|
2020-02-19
|
PLAZA NURSING HOME COMPANY, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154744431
|
Plan sponsor’s
address |
614 SOUTH CROUSE AVENUE, SYRACUSE, NY, 13210
|
Plan administrator’s name and address
Administrator’s EIN |
160955793 |
Plan administrator’s name |
COTTAGES AT GARDEN GROVE |
Plan administrator’s
address |
5460 MELTZER COURT, CICERO, NY, 13039 |
Administrator’s telephone number |
3154133285 |
Signature of
Role |
Plan administrator |
Date |
2020-02-19 |
Name of individual signing |
ADAM FITZGERALD |
|
|
RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.
|
2019
|
160955793
|
2020-01-24
|
PLAZA NURSING HOME COMPANY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154744431
|
Plan sponsor’s
address |
614 SOUTH CROUSE AVENUE, SYRACUSE, NY, 13210
|
Plan administrator’s name and address
Administrator’s EIN |
160955793 |
Plan administrator’s name |
COTTAGES AT GARDEN GROVE |
Plan administrator’s
address |
5460 MELTZER COURT, CICERO, NY, 13039 |
Administrator’s telephone number |
3154133285 |
Signature of
Role |
Plan administrator |
Date |
2020-01-24 |
Name of individual signing |
ADAM FITZGERALD |
|
|
RETIREMENT PLAN FOR EMPLOYEES OF PLAZA NURSING HOME COMPANY, INC.
|
2018
|
160955793
|
2019-06-21
|
PLAZA NURSING HOME COMPANY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3154744431
|
Plan sponsor’s
address |
614 SOUTH CROUSE AVENUE, SYRACUSE, NY, 13210
|
Plan administrator’s name and address
Administrator’s EIN |
160955793 |
Plan administrator’s name |
COTTAGES AT GARDEN GROVE |
Plan administrator’s
address |
5460 MELTZER COURT, CICERO, NY, 13039 |
Administrator’s telephone number |
3154133285 |
Signature of
Role |
Plan administrator |
Date |
2019-06-21 |
Name of individual signing |
ADAM FITZGERALD |
|
|
COTTAGES AT GARDEN GROVE RETIREMENT PLAN
|
2018
|
160955793
|
2019-06-20
|
PLAZA NURSING HOME COMPANY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1996-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3156991619
|
Plan sponsor’s
address |
5460 MELTZER COURT, CICERO, NY, 13039
|
Signature of
Role |
Plan administrator |
Date |
2019-06-20 |
Name of individual signing |
ADAM FITZGERALD |
|
Role |
Employer/plan sponsor |
Date |
2019-06-20 |
Name of individual signing |
ADAM FITZGERALD |
|
|