CLARK MANOR UNION 401K PLAN
|
2011
|
363829755
|
2012-10-15
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN
|
2011
|
363829755
|
2012-10-15
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN
|
2010
|
363829755
|
2011-06-17
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARK MANOR UNION 401K PLAN
|
2010
|
363829755
|
2011-06-17
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK STREET, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2011-06-17 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARK MANOR CONVALESCENT CENTER, INC. 401K RETIREMENT PLAN
|
2009
|
363829755
|
2010-05-07
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
53
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-05-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2010-05-07 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-07 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLARK MANOR UNION 401K PLAN
|
2009
|
363829755
|
2010-05-07
|
CLARK MANOR CONVALESCENT CENTER, INC.
|
85
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2000-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
7733388778
|
Plan sponsor’s
address |
7433 N. CLARK, CHICAGO, IL, 606261619
|
Plan administrator’s name and address
Administrator’s EIN |
363829755 |
Plan administrator’s name |
CLARK MANOR CONVALESCENT CENTER, INC. |
Plan administrator’s
address |
7433 N. CLARK, CHICAGO, IL, 606261619 |
Administrator’s telephone number |
7733388778 |
Signature of
Role |
Plan administrator |
Date |
2010-05-07 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-07 |
Name of individual signing |
DAVID SCHNELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|