EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2020
|
370661193
|
2021-03-09
|
COUNSELING AND FAMILY SERVICES, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 616021406
|
Signature of
Role |
Plan administrator |
Date |
2021-03-09 |
Name of individual signing |
ANGELA FARDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES INC
|
2017
|
370661193
|
2018-09-27
|
COUNSELING AND FAMILY SERVICES INC
|
87
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 616021406
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES INC
|
2017
|
370661193
|
2019-07-30
|
COUNSELING AND FAMILY SERVICES INC
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 616021406
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
ANGELA FARDEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2016
|
370661193
|
2017-10-10
|
COUNSELING AND FAMILY SERVICES, INC .
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST FL 3, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-10 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2015
|
370661193
|
2016-09-08
|
COUNSELING AND FAMILY SERVICES, INC .
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST FL 3, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2016-09-08 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-08 |
Name of individual signing |
ROBERT FAITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2014
|
370661193
|
2015-05-19
|
COUNSELING AND FAMILY SERVICES, INC .
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST FL 3, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2015-05-19 |
Name of individual signing |
DOUGLAS S. ALLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-19 |
Name of individual signing |
DOUGLAS S. ALLEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2013
|
370661193
|
2014-10-15
|
COUNSELING AND FAMILY SERVICES, INC .
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2012
|
370661193
|
2013-05-16
|
COUNSELING AND FAMILY SERVICES, INC .
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-16 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICES, INC.
|
2011
|
370661193
|
2012-06-20
|
COUNSELING AND FAMILY SERVICES, INC .
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370661193 |
Plan administrator’s name |
COUNSELING AND FAMILY SERVICES, INC . |
Plan administrator’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096762400 |
Signature of
Role |
Plan administrator |
Date |
2012-06-20 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-20 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF COUNSELING AND FAMILY SERVICE
|
2010
|
370661193
|
2011-08-19
|
COUNSELING AND FAMILY SERVICE
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1997-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
3096762400
|
Plan sponsor’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370661193 |
Plan administrator’s name |
COUNSELING AND FAMILY SERVICE |
Plan administrator’s
address |
330 SW WASHINGTON ST, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096762400 |
Signature of
Role |
Plan administrator |
Date |
2011-08-19 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-19 |
Name of individual signing |
DOUGLAS S. ALLAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|