TRI STATE COMMUNITY HEALTHCARE CENTER 401(K) PLAN 401k Plan overview

TRI STATE COMMUNITY HEALTHCARE CENTER 401(K) PLAN Benefits

401k Sponsoring company profile

Company Name:	TRI-STATE COMMUNITY HEALTHCARE CENTER
Employer identification number (EIN):	452996531
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	NICK RICE	2024-09-04
001	2022-01-01	SHIRLEY HORNER	2023-07-15

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• TRI STATE CAPITAL DENTAL PLAN [EIN = 205888359]
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• TRI STATE OFFICE FURNITURE INC. 401(K) PLAN [EIN = 272120859]
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• TRI STATE, LTD 401(K) [EIN = 450351323]
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