|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2015
|
050258915
|
2016-09-30
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2014-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
4016822100
|
| Plan sponsor’s mailing address |
1184 EAST MAIN ROAD, PORTSMOUTH, RI, 02871
|
| Plan sponsor’s
address |
1184 EAST MAIN ROAD, PORTSMOUTH, RI, 02871
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2016-09-30 |
| Name of individual signing |
MATTHEW BURNS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LIFE INSURANCE COMPANY OF NORTH AMERICA
|
2014
|
050258915
|
2015-07-30
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
|
112
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2014-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
4016822100
|
| Plan sponsor’s mailing address |
1184 EAST MAIN ROAD, PORTSMOUTH, RI, 02871
|
| Plan sponsor’s
address |
1184 EAST MAIN ROAD, PORTSMOUTH, RI, 02871
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2015-07-30 |
| Name of individual signing |
MATTHEW BURNS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-07-30 |
| Name of individual signing |
MATTHEW BURNS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES UNION 401(K) PLAN
|
2009
|
050258915
|
2010-10-04
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2008-06-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
4016822100
|
| Plan sponsor’s
address |
1184 E. MAIN ROAD, PORTSMOUTH, RI, 02871
|
Plan administrator’s name and address
| Administrator’s EIN |
050258915 |
| Plan administrator’s name |
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES |
| Plan administrator’s
address |
1184 E. MAIN ROAD, PORTSMOUTH, RI, 02871 |
| Administrator’s telephone number |
4016822100 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-04 |
| Name of individual signing |
JEAN ANDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES UNION 401(K) PLAN
|
2009
|
050258915
|
2010-09-29
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
|
41
|
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
2008-06-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
4016822100
|
| Plan sponsor’s
address |
1184 E. MAIN ROAD, PORTSMOUTH, RI, 02871
|
Plan administrator’s name and address
| Administrator’s EIN |
050258915 |
| Plan administrator’s name |
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES |
| Plan administrator’s
address |
1184 E. MAIN ROAD, PORTSMOUTH, RI, 02871 |
| Administrator’s telephone number |
4016822100 |
|
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES 401(K) RETIREMENT PLAN
|
2009
|
050258915
|
2010-07-21
|
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES
|
100
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1986-07-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
4016822100
|
| Plan sponsor’s
address |
1184 E MAIN ROAD, PORTSMOUTH, RI, 02871
|
Plan administrator’s name and address
| Administrator’s EIN |
050258915 |
| Plan administrator’s name |
VISITING NURSE SERVICES OF NEWPORT AND BRISTOL COUNTIES |
| Plan administrator’s
address |
1184 E MAIN ROAD, PORTSMOUTH, RI, 02871 |
| Administrator’s telephone number |
4016822100 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
JEAN ANDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-21 |
| Name of individual signing |
JEAN ANDERSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
