QUALITY HOME CARE SERVICES, LTD. PROFIT SHARING PLAN
|
2012
|
363933912
|
2013-10-10
|
QUALITY HOME CARE SERVICES, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. DEFINED BENEFIT PENSION PLAN
|
2012
|
363933912
|
2013-10-10
|
QUALITY HOME CARE SERVICES, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES PROFIT SHARING PLAN & TRUST
|
2012
|
363933912
|
2013-10-10
|
QUALITY HOME CARE SERVICES, LTD.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Signature of
Role |
Plan administrator |
Date |
2013-10-10 |
Name of individual signing |
RUDYARD SMITH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. DEFINED BENEFIT PENSION PLAN
|
2011
|
363933912
|
2013-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. PROFIT SHARING PLAN
|
2011
|
363933912
|
2013-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES PROFIT SHARING PLAN & TRUST
|
2011
|
363933912
|
2013-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. DEFINED BENEFIT PENSION PLAN
|
2011
|
363933912
|
2012-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
22
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES PROFIT SHARING PLAN & TRUST
|
2011
|
363933912
|
2012-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
28
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, M.D. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. PROFIT SHARING PLAN
|
2011
|
363933912
|
2012-10-09
|
QUALITY HOME CARE SERVICES, LTD.
|
10
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY HOME CARE SERVICES, LTD. PROFIT SHARING PLAN
|
2010
|
363933912
|
2011-10-11
|
QUALITY HOME CARE SERVICES, LTD.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2004-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
7734710890
|
Plan sponsor’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652
|
Plan administrator’s name and address
Administrator’s EIN |
363933912 |
Plan administrator’s name |
QUALITY HOME CARE SERVICES, LTD. |
Plan administrator’s
address |
3510 W. 79TH STREET, CHICAGO, IL, 60652 |
Administrator’s telephone number |
7734710890 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
RUDYARD SMITH, MD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
RUDYARD SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|