CORNERSTONE CLINIC 401(K) RETIREMENT PLAN
|
2023
|
364116386
|
2024-10-09
|
CORNERSTONE CLINIC, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155190546
|
Plan sponsor’s
address |
1235 N MULFORD ROAD, SUITE 210, ROCKFORD, IL, 61107
|
Signature of
Role |
Plan administrator |
Date |
2024-10-09 |
Name of individual signing |
JODI HOLBROOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN
|
2022
|
364116386
|
2023-10-16
|
CORNERSTONE CLINIC, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8155190546
|
Plan sponsor’s
address |
1235 N MULFORD ROAD, SUITE 210, ROCKFORD, IL, 61107
|
Signature of
Role |
Plan administrator |
Date |
2023-10-17 |
Name of individual signing |
JODI HOLBROOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN
|
2021
|
364116386
|
2022-10-13
|
CORNERSTONE CLINIC, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153782426
|
Plan sponsor’s
address |
9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115
|
Signature of
Role |
Plan administrator |
Date |
2022-10-13 |
Name of individual signing |
JODI HOLBROOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNERSTONE CLINIC 401(K) RETIREMENT PLAN
|
2020
|
364116386
|
2021-11-10
|
CORNERSTONE CLINIC, LTD.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153782426
|
Plan sponsor’s
address |
9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115
|
Signature of
Role |
Plan administrator |
Date |
2021-11-10 |
Name of individual signing |
JODI HOLBROOK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CORNERSTONE CLINIC, LTD.
|
2009
|
364116386
|
2010-10-13
|
CORNERSTONE CLINIC, LTD.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8154846300
|
Plan sponsor’s
address |
9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115
|
Plan administrator’s name and address
Administrator’s EIN |
364116386 |
Plan administrator’s name |
CORNERSTONE CLINIC, LTD. |
Plan administrator’s
address |
9721 N. ALPINE ROAD, MACHESNEY PARK, IL, 61115 |
Administrator’s telephone number |
8154846300 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
WESLEY STREET |
Valid signature |
Filed with authorized/valid electronic signature |
|
|