EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2020
|
066082527
|
2021-07-30
|
COMMUNITY HEALTH RESOURCES, INC.
|
18
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
2 WATERSIDE XING STE 401, WINDSOR, CT, 060951587
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2020
|
066082527
|
2021-07-30
|
COMMUNITY HEALTH RESOURCES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
2 WATERSIDE XING STE 401, WINDSOR, CT, 060951587
|
Signature of
Role |
Plan administrator |
Date |
2021-07-30 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2019
|
066082527
|
2020-07-31
|
COMMUNITY HEALTH RESOURCES, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
2 WATERSIDE XING STE 401, WINDSOR, CT, 060951587
|
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2018
|
066082527
|
2019-10-03
|
COMMUNITY HEALTH RESOURCES, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
2 WATERSIDE XING STE 401, WINDSOR, CT, 060951587
|
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2017
|
066082527
|
2018-07-30
|
COMMUNITY HEALTH RESOURCES, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
995 DAY HILL RD, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2016
|
066082527
|
2017-07-28
|
COMMUNITY HEALTH RESOURCES, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
995 DAY HILL RD, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2015
|
066082527
|
2016-07-11
|
COMMUNITY HEALTH RESOURCES, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
995 DAY HILL RD, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2016-07-11 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-11 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2014
|
066082527
|
2015-05-15
|
COMMUNITY HEALTH RESOURCES, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
995 DAY HILL RD, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2015-05-15 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-15 |
Name of individual signing |
MICHELE GAUDET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2013
|
066082527
|
2014-07-29
|
COMMUNITY HEALTH RESOURCES, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1998-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8607315522
|
Plan sponsor’s
address |
995 DAY HILL RD, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2014-07-29 |
Name of individual signing |
KATHLEEN BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-29 |
Name of individual signing |
KATHLEEN BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF COMMUNITY HEALTH RESOURCES, INC.
|
2012
|
066082527
|
2013-10-08
|
COMMUNITY HEALTH RESOURCES, INC.
|
316
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1976-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
995 DAY HILL RD., WINDSOR, CT, 06095
|
Plan sponsor’s
address |
995 DAY HILL RD., WINDSOR, CT, 06095
|
Number of participants as of the end of the plan year
Active participants |
262 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
69 |
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 |
331 |
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
KATHLEEN BABER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|