|
GREATER ELGIN FAMILY CARE CENTER 401K PLAN
|
2012
|
364249586
|
2013-10-15
|
GREATER ELGIN FAMILY CARE CENTER
|
116
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8476081344
|
| Plan sponsor’s mailing address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
| Plan sponsor’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
Plan administrator’s name and address
| Administrator’s EIN |
364249586 |
| Plan administrator’s name |
GREATER ELGIN FAMILY CARE CENTER |
| Plan administrator’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120 |
| Administrator’s telephone number |
8476081344 |
Number of participants as of the end of the plan year
| Active participants |
139 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
9 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
50 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-10-15 |
| Name of individual signing |
JASON CAREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-10-15 |
| Name of individual signing |
JASON CAREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GREATER ELGIN FAMILY CARE CENTER 401K PLAN
|
2011
|
364249586
|
2012-09-11
|
GREATER ELGIN FAMILY CARE CENTER
|
91
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8476081344
|
| Plan sponsor’s mailing address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
| Plan sponsor’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
Plan administrator’s name and address
| Administrator’s EIN |
364249586 |
| Plan administrator’s name |
GREATER ELGIN FAMILY CARE CENTER |
| Plan administrator’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120 |
| Administrator’s telephone number |
8476081344 |
Number of participants as of the end of the plan year
| Active participants |
115 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
7 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
38 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-11 |
| Name of individual signing |
JASON CAREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GREATER ELGIN FAMILY CARE CENTER 401K PLAN
|
2010
|
364249586
|
2011-06-17
|
GREATER ELGIN FAMILY CARE CENTER
|
72
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8476081344
|
| Plan sponsor’s mailing address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
| Plan sponsor’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
Plan administrator’s name and address
| Administrator’s EIN |
364249586 |
| Plan administrator’s name |
GREATER ELGIN FAMILY CARE CENTER |
| Plan administrator’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120 |
| Administrator’s telephone number |
8476081344 |
Number of participants as of the end of the plan year
| Active participants |
84 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
30 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-17 |
| Name of individual signing |
JASON CAREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GREATER ELGIN FAMILY CARE CENTER 401K PLAN
|
2009
|
364249586
|
2010-06-21
|
GREATER ELGIN FAMILY CARE CENTER
|
68
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-31
|
| Business code |
621111
|
| Sponsor’s telephone number |
8476081344
|
| Plan sponsor’s mailing address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
| Plan sponsor’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120
|
Plan administrator’s name and address
| Administrator’s EIN |
364249586 |
| Plan administrator’s name |
GREATER ELGIN FAMILY CARE CENTER |
| Plan administrator’s
address |
370 SUMMIT STREET, #1, ELGIN, IL, 60120 |
| Administrator’s telephone number |
8476081344 |
Number of participants as of the end of the plan year
| Active participants |
64 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
6 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
| Number of
participants
with
account balances as of the end of the plan year |
27 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-21 |
| Name of individual signing |
JASON CAREY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
