| Plan Name | GOOD SAMARITAN HOME - PONTIAC 403(B) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | GOOD SAMARITAN HOME - PONTIAC |
| Employer identification number (EIN): | 271568584 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2020-01-01 | TOM STALTER | 2021-10-08 | ||
| 001 | 2019-01-01 | KIM WITTENBERG | 2020-10-07 |