SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2023
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362170134
|
2024-07-10
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2024-07-10 |
Name of individual signing |
FEROL LABASH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2017
|
362170134
|
2018-05-30
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2018-05-30 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2016
|
362170134
|
2017-07-27
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2015
|
362170134
|
2016-08-16
|
PARKVIEW HOME OF FREEPORT, ILLINOIS
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2016-08-16 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2014
|
362170134
|
2015-06-24
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2015-06-24 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2013
|
362170134
|
2014-05-21
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2014-05-21 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2012
|
362170134
|
2013-08-13
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Signature of
Role |
Plan administrator |
Date |
2013-08-13 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2011
|
362170134
|
2012-06-18
|
PARKVIEW HOME OF FREEPORT, ILLINOIS INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
362170134 |
Plan administrator’s name |
PARKVIEW HOME OF FREEPORT, ILLINOIS INC. |
Plan administrator’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032 |
Administrator’s telephone number |
8152328612 |
Signature of
Role |
Plan administrator |
Date |
2012-06-18 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-18 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2010
|
362170134
|
2011-07-07
|
PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
362170134 |
Plan administrator’s name |
PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. |
Plan administrator’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032 |
Administrator’s telephone number |
8152328612 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-07 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SECTION 403(B) RETIREMENT PLAN FOR PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
2009
|
362170134
|
2010-08-02
|
PARKVIEW HOME OF FREEPORT, ILLINOIS, INC.
|
98
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152328612
|
Plan sponsor’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032
|
Plan administrator’s name and address
Administrator’s EIN |
362170134 |
Plan administrator’s name |
PARKVIEW HOME OF FREEPORT, ILLINOIS, INC. |
Plan administrator’s
address |
1234 SOUTH PARK BLVD., FREEPORT, IL, 61032 |
Administrator’s telephone number |
8152328612 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
DEBRA GITZ |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|