LANCASTER, LTD. RETIREMENT & SAVINGS PLAN
|
2018
|
363485852
|
2019-10-15
|
NORRIDGE NURSING CENTRE, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT & SAVINGS PLAN
|
2017
|
363485852
|
2018-10-11
|
NORRIDGE NURSING CENTRE, INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT & SAVINGS PLAN
|
2016
|
363485852
|
2017-09-21
|
NORRIDGE NURSING CENTRE, INC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2017-09-21 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-21 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT & SAVINGS PLAN
|
2015
|
363485852
|
2016-09-16
|
NORRIDGE NURSING CENTRE, INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2016-09-16 |
Name of individual signing |
CHRIS VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT & SAVINGS PLAN
|
2014
|
363485852
|
2015-09-30
|
NORRIDGE NURSING CENTRE, INC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT & SAVINGS PLAN
|
2013
|
363485852
|
2014-10-13
|
NORRIDGE NURSING CENTRE, INC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7736044416
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-13 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT AND SAVINGS PLAN
|
2012
|
363485852
|
2013-10-10
|
NORRIDGE NURSING CENTRE, INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7084570700
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT AND SAVINGS PLAN
|
2011
|
363485852
|
2012-09-26
|
NORRIDGE NURSING CENTRE, INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7084570700
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363485852 |
Plan administrator’s name |
NORRIDGE NURSING CENTRE, INC |
Plan administrator’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634 |
Administrator’s telephone number |
7084570700 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-26 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LANCASTER, LTD RETIREMENT AND SAVINGS PLAN
|
2010
|
363485852
|
2011-10-17
|
NORRIDGE NURSING CENTRE, INC
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2001-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7084570700
|
Plan sponsor’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634
|
Plan administrator’s name and address
Administrator’s EIN |
363485852 |
Plan administrator’s name |
NORRIDGE NURSING CENTRE, INC |
Plan administrator’s
address |
7001 WEST CULLOM, NORRIDGE, IL, 60634 |
Administrator’s telephone number |
7084570700 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
CHRISTOPHER VICERE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|