| Plan Name | TAX DEFERRED ANNUITY PLAN OF CONVENT AVENUE FAMILY LIVING CENTER |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | CONVENT AVENUE FAMILY LIVING CENTER |
| Employer identification number (EIN): | 133572276 |
| NAIC Classification: | 624100 |
| NAIC Description: | Individual and Family Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2018-01-01 | DONALD C. NOTICE | 2021-04-22 | DONALD C. NOTICE | 2021-04-22 |
| 001 | 2017-01-01 | DONALD C. NOTICE | 2018-07-31 | ||
| 001 | 2013-01-01 | DONALD C. NOTICE | 2014-09-30 |