403(B) THRIFT PLAN OF COMMUNITY SUPPORT SERVICES, INC.
|
2011
|
363122784
|
2012-07-25
|
COMMUNITY SUPPORT SERVICES, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
7083544547
|
Plan sponsor’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
363122784 |
Plan administrator’s name |
COMMUNITY SUPPORT SERVICES, INC. |
Plan administrator’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7083544547 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
MELONEZE GILBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-25 |
Name of individual signing |
MELONEZE GILBERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF COMMUNITY SUPPORT SERVICES, INC.
|
2010
|
363122784
|
2011-07-13
|
COMMUNITY SUPPORT SERVICES, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
7083544547
|
Plan sponsor’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
363122784 |
Plan administrator’s name |
COMMUNITY SUPPORT SERVICES, INC. |
Plan administrator’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7083544547 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
JUDITH BICAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
JUDITH BICAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
403(B) THRIFT PLAN OF COMMUNITY SUPPORT SERVICES, INC.
|
2009
|
363122784
|
2010-07-26
|
COMMUNITY SUPPORT SERVICES, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-05-01
|
Business code |
624100
|
Sponsor’s telephone number |
7083544547
|
Plan sponsor’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513
|
Plan administrator’s name and address
Administrator’s EIN |
363122784 |
Plan administrator’s name |
COMMUNITY SUPPORT SERVICES, INC. |
Plan administrator’s
address |
9021 OGDEN AVE, BROOKFIELD, IL, 60513 |
Administrator’s telephone number |
7083544547 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
JUDITH BICAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-26 |
Name of individual signing |
JUDITH BICAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|