|
HOSPICE OF SOUTHERN ILLINOIS, INC 403(B) PLAN
|
2011
|
371107446
|
2012-05-03
|
HOSPICE OF SOUTHERN ILLINOIS, INC
|
120
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-12-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
6182351703
|
| Plan sponsor’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220
|
Plan administrator’s name and address
| Administrator’s EIN |
371107446 |
| Plan administrator’s name |
HOSPICE OF SOUTHERN ILLINOIS, INC |
| Plan administrator’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220 |
| Administrator’s telephone number |
6182351703 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-03 |
| Name of individual signing |
AMY L RICHTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOSPICE OF SOUTHERN ILLINOIS, INC 403(B) PLAN
|
2010
|
371107446
|
2011-04-29
|
HOSPICE OF SOUTHERN ILLINOIS, INC
|
118
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-12-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
6182351703
|
| Plan sponsor’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220
|
Plan administrator’s name and address
| Administrator’s EIN |
371107446 |
| Plan administrator’s name |
HOSPICE OF SOUTHERN ILLINOIS, INC |
| Plan administrator’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220 |
| Administrator’s telephone number |
6182351703 |
Signature of
| Role |
Plan administrator |
| Date |
2011-04-29 |
| Name of individual signing |
AMY RICHTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOSPICE OF SOUTHERN ILLINOIS, INC 403(B) PLAN
|
2009
|
371107446
|
2010-07-18
|
HOSPICE OF SOUTHERN ILLINOIS, INC
|
110
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-12-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
6182351703
|
| Plan sponsor’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220
|
Plan administrator’s name and address
| Administrator’s EIN |
371107446 |
| Plan administrator’s name |
HOSPICE OF SOUTHERN ILLINOIS, INC |
| Plan administrator’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220 |
| Administrator’s telephone number |
6182351703 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-29 |
| Name of individual signing |
AMY RICHTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HOSPICE OF SOUTHERN ILLINOIS, INC 403(B) PLAN
|
2009
|
371107446
|
2010-06-29
|
HOSPICE OF SOUTHERN ILLINOIS, INC
|
110
|
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2008-12-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
6182351703
|
| Plan sponsor’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220
|
Plan administrator’s name and address
| Administrator’s EIN |
371107446 |
| Plan administrator’s name |
HOSPICE OF SOUTHERN ILLINOIS, INC |
| Plan administrator’s
address |
305 SOUTH ILLINOIS STREET, BELLEVILLE, IL, 62220 |
| Administrator’s telephone number |
6182351703 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-29 |
| Name of individual signing |
AMY RICHTER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
