GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2020
|
362529613
|
2021-07-22
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2019
|
362529613
|
2020-06-09
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Signature of
Role |
Plan administrator |
Date |
2020-06-09 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2018
|
362529613
|
2019-05-24
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-05-24 |
Name of individual signing |
JAMES MOMMSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2017
|
362529613
|
2019-05-24
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-05-24 |
Name of individual signing |
JAMES MOMMSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2017
|
362529613
|
2018-07-06
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2016
|
362529613
|
2017-10-12
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-10-03 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2015
|
362529613
|
2016-10-14
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Plan sponsor’s
address |
17314 KEDZIE AVE, HAZEL CREST, IL, 604291619
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2014
|
362529613
|
2015-10-14
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 S KEDZIE AVE, HAZEL CREST, IL, 60429
|
Plan sponsor’s
address |
17314 S KEDZIE AVE, HAZEL CREST, IL, 60429
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2013
|
362529613
|
2014-10-15
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 S KEDZIE AVE, HAZEL CREST, IL, 60429
|
Plan sponsor’s
address |
17314 S KEDZIE AVE, HAZEL CREST, IL, 60429
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOOD SHEPHERD CENTER TSA 501(C)(3)
|
2012
|
362529613
|
2013-10-04
|
GOOD SHEPHERD CENTER FOR EXCEPTIONAL CHILDREN
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083350020
|
Plan sponsor’s mailing address |
17314 S KEDZIE AVE, HAZELCREST, IL, 60429
|
Plan sponsor’s
address |
17314 S KEDZIE AVE, HAZELCREST, IL, 60429
|
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-04 |
Name of individual signing |
PEGGY HOOGHEEM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|