OMNI YOUTH SERVICES
|
2023
|
362777027
|
2024-09-16
|
OMNI YOUTH SERVICES
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2024-09-16 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OMNI YOUTH SERVICES
|
2022
|
362777027
|
2023-07-31
|
OMNI YOUTH SERVICES
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2021
|
362777027
|
2022-10-06
|
OMNI YOUTH SERVICES
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2022-10-06 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2020
|
362777027
|
2021-07-22
|
OMNI YOUTH SERVICES
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2021-07-22 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2019
|
362777027
|
2020-10-07
|
OMNI YOUTH SERVICES
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2020-10-07 |
Name of individual signing |
SHANAN EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-07 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2018
|
362777027
|
2019-07-25
|
OMNI YOUTH SERVICES
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2019-07-25 |
Name of individual signing |
SHANAN EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-25 |
Name of individual signing |
DORYCE MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2017
|
362777027
|
2018-07-30
|
OMNI YOUTH SERVICES
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 600891926
|
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
SHANAN EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-30 |
Name of individual signing |
JAMES MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2014
|
362777027
|
2015-07-17
|
OMNI YOUTH SERVICES
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2015-07-17 |
Name of individual signing |
SHANAN M. EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-17 |
Name of individual signing |
JAMES J. MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2013
|
362777027
|
2014-07-16
|
OMNI YOUTH SERVICES
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
SHANAN M. EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-16 |
Name of individual signing |
JAMES J. MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF OMNI YOUTH SERVICES
|
2012
|
362777027
|
2013-06-10
|
OMNI YOUTH SERVICES
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1979-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8473531500
|
Plan sponsor’s
address |
1111 W LAKE COOK RD, BUFFALO GROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
362777027 |
Plan administrator’s name |
OMNI YOUTH SERVICES |
Administrator’s telephone number |
8473531500 |
Signature of
Role |
Plan administrator |
Date |
2013-06-10 |
Name of individual signing |
SHANAN M. EGGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-10 |
Name of individual signing |
JAMES J. MEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|