EMPLOYEE BENEFIT PLAN OF SAMLAND HEALTH CARE, INC.
|
2013
|
364020993
|
2014-06-09
|
SAMLAND HEALTH CARE, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7732832525
|
Plan sponsor’s
address |
4320 W MONTROSE AVE, CHICAGO, IL, 60641
|
Signature of
Role |
Plan administrator |
Date |
2014-06-09 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-09 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SAMLAND HEALTH CARE, INC.
|
2012
|
364020993
|
2013-06-05
|
SAMLAND HEALTH CARE, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7732832525
|
Plan sponsor’s
address |
4320 W MONTROSE AVE, CHICAGO, IL, 60641
|
Plan administrator’s name and address
Administrator’s EIN |
364020993 |
Plan administrator’s name |
SAMLAND HEALTH CARE, INC. |
Administrator’s telephone number |
7732832525 |
Signature of
Role |
Plan administrator |
Date |
2013-06-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF SAMLAND HEALTH CARE, INC.
|
2011
|
364020993
|
2012-10-05
|
SAMLAND HEALTH CARE, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7732832525
|
Plan sponsor’s
address |
4320 W MONTROSE AVE, CHICAGO, IL, 60641
|
Plan administrator’s name and address
Administrator’s EIN |
364020993 |
Plan administrator’s name |
SAMLAND HEALTH CARE, INC. |
Plan administrator’s
address |
4320 W MONTROSE AVE, CHICAGO, IL, 60641 |
Administrator’s telephone number |
7732832525 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMLAND HEALTH CARE, INC. EMPLOYEES SAVINGS TRUST
|
2010
|
364020993
|
2011-07-05
|
SAMLAND HEALTH CARE, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7732832525
|
Plan sponsor’s
address |
4320 WEST MONTROSE AVENUE, CHICAGO, IL, 60641
|
Plan administrator’s name and address
Administrator’s EIN |
364020993 |
Plan administrator’s name |
SAMLAND HEALTH CARE, INC. |
Plan administrator’s
address |
4320 WEST MONTROSE AVENUE, CHICAGO, IL, 60641 |
Administrator’s telephone number |
7732832525 |
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
FLORA SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SAMLAND HEALTH CARE, INC. EMPLOYEES SAVINGS TRUST
|
2009
|
364020993
|
2010-07-09
|
SAMLAND HEALTH CARE, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7732832525
|
Plan sponsor’s
address |
4320 WEST MONTROSE AVENUE, CHICAGO, IL, 60641
|
Plan administrator’s name and address
Administrator’s EIN |
364020993 |
Plan administrator’s name |
SAMLAND HEALTH CARE, INC. |
Plan administrator’s
address |
4320 WEST MONTROSE AVENUE, CHICAGO, IL, 60641 |
Administrator’s telephone number |
7732832525 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
FLORA L. SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-08 |
Name of individual signing |
FLORA L. SAMPANG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|