LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. EMPLOYEES' CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST
|
2012
|
362905838
|
2013-07-22
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
8473676100
|
Plan sponsor’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-22 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. EMPLOYEES CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST
|
2011
|
362905838
|
2012-07-21
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
8473676100
|
Plan sponsor’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014
|
Plan administrator’s name and address
Administrator’s EIN |
362905838 |
Plan administrator’s name |
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. |
Plan administrator’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014 |
Administrator’s telephone number |
8473676100 |
Signature of
Role |
Plan administrator |
Date |
2012-07-21 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-21 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. EMPLOYEES CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST
|
2010
|
362905838
|
2011-09-21
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
8473676100
|
Plan sponsor’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014
|
Plan administrator’s name and address
Administrator’s EIN |
362905838 |
Plan administrator’s name |
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. |
Plan administrator’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014 |
Administrator’s telephone number |
8473676100 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-09-21 |
Name of individual signing |
MILAN STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. EMPLOYEES CASH OR DEFERRED PROFIT SHARING PLAN AND TRUST
|
2009
|
362905838
|
2011-01-07
|
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1981-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
8473676100
|
Plan sponsor’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014
|
Plan administrator’s name and address
Administrator’s EIN |
362905838 |
Plan administrator’s name |
LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. |
Plan administrator’s
address |
610 PETERSON ROAD, ROUTE 137, LIBERTYVILLE, IL, 600481014 |
Administrator’s telephone number |
8473676100 |
Signature of
Role |
Plan administrator |
Date |
2011-01-07 |
Name of individual signing |
NICHOLAS STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-07 |
Name of individual signing |
NICHOLAS STOKOVICH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|