|
HILLSIDE HOUSE OF COEYMANS, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
141576022
|
2010-09-29
|
HILLSIDE HOUSE OF COEYMANS, INC.
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
5184346842
|
| Plan sponsor’s mailing address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
| Plan sponsor’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
Plan administrator’s name and address
| Administrator’s EIN |
141576022 |
| Plan administrator’s name |
HILLSIDE HOUSE OF COEYMANS, INC. |
| Plan administrator’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211 |
| Administrator’s telephone number |
5184346842 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-29 |
| Name of individual signing |
JULIA FILIPPONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HILLSIDE HOUSE OF COEYMANS, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
141576022
|
2010-10-01
|
HILLSIDE HOUSE OF COEYMANS, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
5184346842
|
| Plan sponsor’s mailing address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
| Plan sponsor’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
Plan administrator’s name and address
| Administrator’s EIN |
141576022 |
| Plan administrator’s name |
HILLSIDE HOUSE OF COEYMANS, INC. |
| Plan administrator’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211 |
| Administrator’s telephone number |
5184346842 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
0 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-01 |
| Name of individual signing |
JULIA FILIPPONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HILLSIDE HOUSE OF COEYMANS, INC. 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
141576022
|
2010-09-28
|
HILLSIDE HOUSE OF COEYMANS, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
5184346842
|
| Plan sponsor’s mailing address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
| Plan sponsor’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
Plan administrator’s name and address
| Administrator’s EIN |
141576022 |
| Plan administrator’s name |
HILLSIDE HOUSE OF COEYMANS, INC. |
| Plan administrator’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211 |
| Administrator’s telephone number |
5184346842 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-28 |
| Name of individual signing |
JULIA FILIPPONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HILLSIDE HOUSE OF COEYMANS, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
141576022
|
2010-09-28
|
HILLSIDE HOUSE OF COEYMANS, INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1998-01-01
|
| Business code |
813000
|
| Sponsor’s telephone number |
5184346842
|
| Plan sponsor’s mailing address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
| Plan sponsor’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211
|
Plan administrator’s name and address
| Administrator’s EIN |
141576022 |
| Plan administrator’s name |
HILLSIDE HOUSE OF COEYMANS, INC. |
| Plan administrator’s
address |
14 STRATHMORE DRIVE, ALBANY, NY, 12211 |
| Administrator’s telephone number |
5184346842 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-28 |
| Name of individual signing |
JULIA FILIPPONE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
