COMMUNITY RESIDENCES, INC. GROUP LIFE
|
2011
|
061175089
|
2013-08-29
|
COMMUNITY RESIDENCES, INC
|
418
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC. LTD PLAN
|
2011
|
061175089
|
2013-08-29
|
COMMUNITY RESIDENCES, INC
|
418
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC. DENTAL PLAN
|
2011
|
061175089
|
2013-08-29
|
COMMUNITY RESIDENCES, INC
|
310
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC.
|
2011
|
061175089
|
2013-08-29
|
COMMUNITY RESIDENCES, INC.
|
337
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2011-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-08-29 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC.
|
2010
|
061175089
|
2011-10-14
|
COMMUNITY RESIDENCES, INC.
|
337
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8606217600
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606217600 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC, DENTAL PLAN
|
2010
|
061175089
|
2011-10-14
|
COMMUNITY RESIDENCES, INC.
|
324
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8606446599
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606446599 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES LONG TERM DISABILITY PLAN
|
2010
|
061175089
|
2011-10-14
|
COMMUNITY RESIDENCES, INC.
|
418
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8606217600
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606217600 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES INC LIFE INSURANCE PLAN
|
2010
|
061175089
|
2011-10-14
|
COMMUNITY RESIDENCES, INC.
|
418
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2010-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8606217600
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606217600 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COMMUNITY RESIDENCES, INC. DENTAL PLAN
|
2009
|
061175089
|
2010-08-25
|
COMMUNITY RESIDENCES, INC.
|
322
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8606217600
|
Plan sponsor’s mailing address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan sponsor’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
Administrator’s EIN |
061175089 |
Plan administrator’s name |
COMMUNITY RESIDENCES, INC. |
Plan administrator’s
address |
732 WEST STREET, SOUTHINGTON, CT, 06489 |
Administrator’s telephone number |
8606217600 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-25 |
Name of individual signing |
MICHAEL PATRIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|