YOURWAY HRA BENEFIT PLAN BEECHWOOD HEALTH CARE CENTER, INC.
|
2022
|
203368932
|
2023-09-28
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
189
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2022-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107355
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HWY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HWY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Active participants |
180 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-09-25 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2017
|
203368932
|
2018-06-15
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
448
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HWY, GETZVILLE, NY, 140681219
|
Plan sponsor’s
address |
2235 MILLERSPORT HWY, GETZVILLE, NY, 140681219
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-06-15 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-15 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC CAFETERIA PLAN
|
2013
|
203368932
|
2014-08-06
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
517
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-06 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-06 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2013
|
203368932
|
2014-08-06
|
BEECHWOOD HEALTH CARE CENTER, INC
|
498
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-08-06 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-08-06 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2013
|
203368932
|
2014-03-27
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
236
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Active participants |
218 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2013
|
203368932
|
2014-03-27
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
192
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Active participants |
199 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2013
|
203368932
|
2014-03-27
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
232
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
5 |
Other
retired or separated participants entitled to future benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2012
|
203368932
|
2014-08-05
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
461
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILL, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILL, NY, 14068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
2012
|
203368932
|
2014-03-27
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Number of participants as of the end of the plan year
Active participants |
192 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEECHWOOD HEALTH CARE CENTER, INC. CAFETERIA PLAN
|
2011
|
203368932
|
2014-03-27
|
BEECHWOOD HEALTH CARE CENTER, INC.
|
194
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2008-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7168107302
|
Plan sponsor’s mailing address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan sponsor’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068
|
Plan administrator’s name and address
Administrator’s EIN |
203368932 |
Plan administrator’s name |
BEECHWOOD HEALTH CARE CENTER, INC. |
Plan administrator’s
address |
2235 MILLERSPORT HIGHWAY, GETZVILLE, NY, 14068 |
Administrator’s telephone number |
7168107302 |
Number of participants as of the end of the plan year
Active participants |
179 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KRISTIN ANDERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|