EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC.
|
2016
|
237136028
|
2017-03-06
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7084291260
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2017-03-06 |
Name of individual signing |
DENNIS CARPENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC.
|
2015
|
237136028
|
2016-09-27
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7084291260
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2016-09-27 |
Name of individual signing |
DENNIS CARPENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-27 |
Name of individual signing |
DENNIS CARPENTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SOUTHWEST COMMUNITY SERVICES, INC.
|
2014
|
237136028
|
2015-06-26
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7084291260
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN
|
2013
|
237136028
|
2014-06-20
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7089577060
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789
|
Signature of
Role |
Plan administrator |
Date |
2014-06-20 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-20 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN
|
2012
|
237136028
|
2013-07-18
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
60
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7089577060
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN
|
2011
|
237136028
|
2012-06-26
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
58
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7089577060
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789
|
Plan administrator’s name and address
Administrator’s EIN |
237136028 |
Plan administrator’s name |
SOUTHWEST COMMUNITY SERVICES, INC. |
Plan administrator’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789 |
Administrator’s telephone number |
7089577060 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-26 |
Name of individual signing |
JULIANNE GRAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN
|
2010
|
237136028
|
2011-07-15
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7089577060
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789
|
Plan administrator’s name and address
Administrator’s EIN |
237136028 |
Plan administrator’s name |
SOUTHWEST COMMUNITY SERVICES, INC. |
Plan administrator’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789 |
Administrator’s telephone number |
7089577060 |
Signature of
Role |
Plan administrator |
Date |
2011-07-15 |
Name of individual signing |
MARCIA KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-15 |
Name of individual signing |
MARY AMBROSINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHWEST COMMUNITY SERVICES, INC. 401(K) PLAN
|
2009
|
237136028
|
2010-07-14
|
SOUTHWEST COMMUNITY SERVICES, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1990-01-01
|
Business code |
624310
|
Sponsor’s telephone number |
7089577060
|
Plan sponsor’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789
|
Plan administrator’s name and address
Administrator’s EIN |
237136028 |
Plan administrator’s name |
SOUTHWEST COMMUNITY SERVICES, INC. |
Plan administrator’s
address |
6775 PROSPERI DR, TINLEY PARK, IL, 604774789 |
Administrator’s telephone number |
7089577060 |
Signature of
Role |
Plan administrator |
Date |
2010-05-13 |
Name of individual signing |
MARCIA KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-14 |
Name of individual signing |
MARY PAT AMBROSINO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|