| Plan Name | COMMUNITY CARE ON PALM SAFE HARBOR 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | SOUTHCOAST HEALTH AND WELLNESS DBA COMMUNITY CARE ON PALM |
| Employer identification number (EIN): | 954253329 |
| 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 | 2017-01-01 | CHERYL JUMONVILLE | 2020-01-03 | ||
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | CHERYL JUMONVILLE | 2016-10-18 | ||
| 001 | 2014-01-01 | CHERYL JUMONVILLE | 2015-10-16 |