INDEPENDENCE 401(K) PLAN
|
2015
|
050500500
|
2016-06-02
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2016-06-02 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2014
|
050500500
|
2016-06-02
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Signature of
Role |
Plan administrator |
Date |
2016-06-02 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2014
|
050500500
|
2015-05-22
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2015-05-22 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2013
|
050500500
|
2014-09-12
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2012
|
050500500
|
2013-10-01
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2011
|
050500500
|
2012-09-18
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
35 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2012-09-17 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2010
|
050500500
|
2011-09-26
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2010
|
050500500
|
2011-09-26
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
20
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
RICHARD WESTLAKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
INDEPENDENCE 401(K) PLAN
|
2009
|
050500500
|
2010-10-06
|
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
4012738888
|
Plan sponsor’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914
|
Plan administrator’s name and address
Administrator’s EIN |
050500500 |
Plan administrator’s name |
INDEPENDENCE, LLC PRODUCTS FOR INDEPENDENT LIVING |
Plan administrator’s
address |
32 AGNES STREET, EAST PROVIDENCE, RI, 02914 |
Administrator’s telephone number |
4012738888 |
Signature of
Role |
Plan administrator |
Date |
2010-10-06 |
Name of individual signing |
CAROL LIPMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|