OPTIMUM STAFFING INC. GROUP HOSPITALIZATION DENTAL & LIFE INSURANCE PLAN
|
2021
|
363809538
|
2022-07-26
|
OPTIMUM STAFFING, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
488990
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s mailing address |
3333 WARRENVILLE ROAD SUITE 200, LISLE, IL, 60532
|
Plan sponsor’s
address |
3333 WARRENVILLE ROAD, SUITE 200, LISLE, IL, 60532
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-07-22 |
Name of individual signing |
KRIS IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING INC. GROUP HOSPITALIZATION DENTAL & LIFE INSURANCE PLAN
|
2020
|
363809538
|
2021-08-19
|
OPTIMUM STAFFING, INC.
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
488990
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s mailing address |
3333 WARRENVILLE ROAD SUITE 200, LISLE, IL, 60532
|
Plan sponsor’s
address |
3333 WARRENVILLE ROAD, SUITE 200, LISLE, IL, 60532
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-31 |
Name of individual signing |
SUSAN C. PIPPENGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING INC. GROUP HOSPITALIZATION DENTAL & LIFE INSURANCE PLAN
|
2019
|
363809538
|
2020-09-01
|
OPTIMUM STAFFING, INC.
|
176
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
488990
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s mailing address |
3333 WARRENVILLE ROAD, SUITE 200, LISLE, IL, 60532
|
Plan sponsor’s
address |
3333 WARRENVILLE ROAD, SUITE 200, LISLE, IL, 60532
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-02 |
Name of individual signing |
SUSAN C. PIPPENGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING INC. GROUP HOSPITALIZATION DENTAL & LIFE INSURANCE PLAN
|
2018
|
363809538
|
2019-10-23
|
OPTIMUM STAFFING, INC.
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
488990
|
Sponsor’s telephone number |
6307662721
|
Plan sponsor’s mailing address |
3540 SEVEN BRIDGES DRIVE STE 300, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
3540 SEVEN BRIDGES DRIVE STE 300, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
SUSAN C. PIPPENGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING INC. GROUP HOSPITALIZATION DENTAL & LIFE INSURANCE PLAN
|
2017
|
362871678
|
2018-07-19
|
OPTIMUM STAFFING, INC.
|
268
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
488990
|
Sponsor’s telephone number |
6307662721
|
Plan sponsor’s mailing address |
3540 SEVEN BRIDGES DRIVE STE 300, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
3540 SEVEN BRIDGES DRIVE STE 300, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-05-11 |
Name of individual signing |
SUSAN C. PIPPENGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING, INC. EMPLOYEES 401(K) PLAN AND TRUST AGREEMENT
|
2014
|
363809538
|
2015-10-02
|
OPTIMUM STAFFING INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
212390
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517
|
Signature of
Role |
Plan administrator |
Date |
2015-10-02 |
Name of individual signing |
KRIS IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING, INC. EMPLOYEES 401(K) PLAN AND TRUST AGREEMENT
|
2013
|
363809538
|
2014-08-28
|
OPTIMUM STAFFING INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
212390
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517
|
Signature of
Role |
Plan administrator |
Date |
2014-08-28 |
Name of individual signing |
KRIS IWANSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING, INC. EMPLOYEES 401(K) PLAN AND TRUST AGREEMENT
|
2012
|
363809538
|
2013-09-25
|
OPTIMUM STAFFING INC.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
212390
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
SANDRA LUND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
SANDRA LUND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING, INC. EMPLOYEES 401(K) PLAN AND TRUST AGREEMENT
|
2011
|
363809538
|
2012-10-08
|
OPTIMUM STAFFING INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
212390
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
363809538 |
Plan administrator’s name |
OPTIMUM STAFFING INC. |
Plan administrator’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6303500595 |
Signature of
Role |
Plan administrator |
Date |
2012-10-08 |
Name of individual signing |
SANDRA LUND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
SANDRA LUND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OPTIMUM STAFFING, INC. EMPLOYEES 401(K) PLAN AND TRUST AGREEMENT
|
2010
|
363809538
|
2011-10-11
|
OPTIMUM STAFFING INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
212390
|
Sponsor’s telephone number |
6303500595
|
Plan sponsor’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
363809538 |
Plan administrator’s name |
OPTIMUM STAFFING INC. |
Plan administrator’s
address |
3540 SEVEN BRIDGE DR SUITE 301, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6303500595 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
SANDRA LUND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|