THE NURSE SOURCE, LTD. 401K PLAN
|
2011
|
363687686
|
2012-10-04
|
THE NURSE SOURCE, LTD.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-06-01
|
Business code |
561300
|
Sponsor’s telephone number |
7737771500
|
Plan sponsor’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646
|
Plan administrator’s name and address
Administrator’s EIN |
363687686 |
Plan administrator’s name |
THE NURSE SOURCE, LTD. |
Plan administrator’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646 |
Administrator’s telephone number |
7737771500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
MICHAEL SLEPAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
MICHAEL SLEPAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE NURSE SOURCE, LTD. 401K PLAN
|
2010
|
363687686
|
2011-09-21
|
THE NURSE SOURCE, LTD.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-06-01
|
Business code |
561300
|
Sponsor’s telephone number |
7737771500
|
Plan sponsor’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646
|
Plan administrator’s name and address
Administrator’s EIN |
363687686 |
Plan administrator’s name |
THE NURSE SOURCE, LTD. |
Plan administrator’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646 |
Administrator’s telephone number |
7737771500 |
Signature of
Role |
Plan administrator |
Date |
2011-09-21 |
Name of individual signing |
MICHAEL SLEPAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE NURSE SOURCE, LTD. 401K PLAN
|
2009
|
363687686
|
2010-07-02
|
THE NURSE SOURCE, LTD.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-06-01
|
Business code |
561300
|
Sponsor’s telephone number |
7737771500
|
Plan sponsor’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646
|
Plan administrator’s name and address
Administrator’s EIN |
363687686 |
Plan administrator’s name |
THE NURSE SOURCE, LTD. |
Plan administrator’s
address |
6160 N. CICERO, SUITE 124, CHICAGO, IL, 60646 |
Administrator’s telephone number |
7737771500 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
MICHAEL SLEPAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
MICHAEL SLEPAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|