|
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. PROFIT SHARING PLAN AND TRUST
|
2013
|
920075596
|
2015-01-28
|
74
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-07-01
|
| Sponsor |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC.
|
| Business code |
621420
|
| Sponsor’s telephone number |
9074572823
|
| Plan sponsor’s
address |
P.O. BOX 81490, FAIRBANKS, AK, 99708
|
Signature of
| Role |
Plan administrator |
| Date |
2015-01-28 |
| Name of individual signing |
BARBARA BURCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-01-28 |
| Name of individual signing |
BARBARA BURCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. PROFIT SHARING PLAN AND TRUST
|
2012
|
920075596
|
2014-04-15
|
98
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-07-01
|
| Sponsor |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC.
|
| Business code |
621420
|
| Sponsor’s telephone number |
9074572823
|
| Plan sponsor’s
address |
P.O. BOX 81490, FAIRBANKS, AK, 99708
|
Signature of
| Role |
Plan administrator |
| Date |
2014-04-15 |
| Name of individual signing |
BARBARA BURCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2014-04-15 |
| Name of individual signing |
BARBARA BURCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
920075596
|
2013-04-01
|
102
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-07-01
|
| Sponsor |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC.
|
| Business code |
621420
|
| Sponsor’s telephone number |
9074521575
|
| Plan sponsor’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701
|
Plan administrator’s name and address
| Administrator’s EIN |
920075596 |
| Plan administrator’s name |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701 |
| Administrator’s telephone number |
9074521575 |
Signature of
| Role |
Plan administrator |
| Date |
2013-04-01 |
| Name of individual signing |
BRANDI SIMINGTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-04-01 |
| Name of individual signing |
BRANDI SIMINGTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
920075596
|
2012-04-09
|
99
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-07-01
|
| Sponsor |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC.
|
| Business code |
621420
|
| Sponsor’s telephone number |
9074521575
|
| Plan sponsor’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701
|
Plan administrator’s name and address
| Administrator’s EIN |
920075596 |
| Plan administrator’s name |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701 |
| Administrator’s telephone number |
9074521575 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-09 |
| Name of individual signing |
BRANDI SIMINGTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-04-09 |
| Name of individual signing |
BRANDI SIMINGTON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
920075596
|
2011-04-13
|
95
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1988-07-01
|
| Sponsor |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC.
|
| Business code |
621420
|
| Sponsor’s telephone number |
9074521575
|
| Plan sponsor’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701
|
Plan administrator’s name and address
| Administrator’s EIN |
920075596 |
| Plan administrator’s name |
FAIRBANKS COMMUNITY MENTAL HEALTH CENTER, INC. |
| Plan administrator’s
address |
3830 SOUTH CUSHMAN, FAIRBANKS, AK, 99701 |
| Administrator’s telephone number |
9074521575 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-13 |
| Name of individual signing |
VIRGINIA FARMIER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-04-13 |
| Name of individual signing |
VIRGINIA FARMIER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
