BARB CITY MANOR EMPLOYEES' 403(B) PLAN
|
2022
|
363602051
|
2024-01-17
|
BARB CITY MANOR, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2024-01-08 |
Name of individual signing |
SARAH DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-08 |
Name of individual signing |
SARAH DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' RETIREMENT PLAN
|
2022
|
363602051
|
2024-01-17
|
BARB CITY MANOR, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2024-01-08 |
Name of individual signing |
SARAH DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-01-08 |
Name of individual signing |
SARAH DAVIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' RETIREMENT PLAN
|
2021
|
363602051
|
2023-01-06
|
BARB CITY MANOR, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2022-12-22 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-12-22 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' 403(B) PLAN
|
2021
|
363602051
|
2023-01-06
|
BARB CITY MANOR, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2022-12-22 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-12-22 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' 403(B) PLAN
|
2020
|
363602051
|
2022-01-24
|
BARB CITY MANOR, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' RETIREMENT PLAN
|
2020
|
363602051
|
2022-01-24
|
BARB CITY MANOR, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' 403(B) PLAN
|
2019
|
363602051
|
2022-01-24
|
BARB CITY MANOR, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-24 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' RETIREMENT PLAN
|
2019
|
363602051
|
2020-11-03
|
BARB CITY MANOR, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2020-11-03 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-03 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' 403(B) PLAN
|
2019
|
363602051
|
2020-11-03
|
BARB CITY MANOR, INC.
|
37
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2020-11-03 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-11-03 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BARB CITY MANOR EMPLOYEES' RETIREMENT PLAN
|
2018
|
363602051
|
2019-11-20
|
BARB CITY MANOR, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-07-01
|
Business code |
623000
|
Sponsor’s telephone number |
8157568444
|
Plan sponsor’s
address |
680 HAISH BLVD., DEKALB, IL, 60115
|
Signature of
Role |
Plan administrator |
Date |
2019-11-18 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-11-18 |
Name of individual signing |
MAUREEN GERRITY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|