LAWRENCE HALL 401(K) PLAN
|
2021
|
362167771
|
2022-10-13
|
LAWRENCE HALL
|
84
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-04-03
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s
address |
4833 NORTH FRANCISCO AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
BILL KRITCHEVSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL 401(K) PLAN
|
2021
|
362167771
|
2022-10-13
|
LAWRENCE HALL
|
84
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2006-04-03
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s
address |
4833 NORTH FRANCISCO AVENUE, CHICAGO, IL, 60625
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
BILL KRITCHEVSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - DENTAL PLAN
|
2013
|
362167771
|
2014-07-17
|
LAWRENCE HALL YOUTH SERVICES
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1990-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
228 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-17 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - MEDICAL PLAN
|
2013
|
362167771
|
2014-07-17
|
LAWRENCE HALL YOUTH SERVICES
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
220 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-17 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - GROUP LIFE AND AD&D PLAN
|
2012
|
362167771
|
2014-03-20
|
LAWRENCE HALL YOUTH SERVICES
|
285
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
256 |
Retired or separated participants receiving
benefits |
29 |
Signature of
Role |
Plan administrator |
Date |
2014-03-20 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-20 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - LONG TERM DISABILITY PLAN
|
2012
|
362167771
|
2014-03-20
|
LAWRENCE HALL YOUTH SERVICES
|
258
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W, PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W, PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
245 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2014-03-20 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-20 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - DENTAL PLAN
|
2012
|
362167771
|
2013-07-12
|
LAWRENCE HALL YOUTH SERVICES
|
194
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1990-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
186 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-12 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - MEDICAL PLAN
|
2012
|
362167771
|
2013-07-12
|
LAWRENCE HALL YOUTH SERVICES
|
183
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-02-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Number of participants as of the end of the plan year
Active participants |
176 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-07-12 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-12 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - LONG TERM DISABILITY PLAN
|
2011
|
362167771
|
2013-03-27
|
LAWRENCE HALL YOUTH SERVICES
|
269
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan administrator’s name and address
Administrator’s EIN |
362167771 |
Plan administrator’s name |
LAWRENCE HALL YOUTH SERVICES |
Plan administrator’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927 |
Administrator’s telephone number |
7737282807 |
Number of participants as of the end of the plan year
Active participants |
250 |
Retired or separated participants receiving
benefits |
8 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-27 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-27 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAWRENCE HALL YOUTH SERVICES - GROUP LIFE AND AD&D PLAN
|
2011
|
362167771
|
2013-03-27
|
LAWRENCE HALL YOUTH SERVICES
|
291
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
7737282807
|
Plan sponsor’s mailing address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan sponsor’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927
|
Plan administrator’s name and address
Administrator’s EIN |
362167771 |
Plan administrator’s name |
LAWRENCE HALL YOUTH SERVICES |
Plan administrator’s
address |
2737 W. PETERSON AVENUE, CHICAGO, IL, 606593927 |
Administrator’s telephone number |
7737282807 |
Number of participants as of the end of the plan year
Active participants |
256 |
Retired or separated participants receiving
benefits |
29 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-03-27 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-27 |
Name of individual signing |
MARK NUFER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|