ADUSA, INC. 401(K) PLAN
|
2020
|
364307172
|
2021-10-08
|
ADUSA, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984250
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2021-10-08 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2019
|
364307172
|
2020-10-05
|
ADUSA, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984250
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2020-10-05 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-05 |
Name of individual signing |
JUAN C PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2018
|
364307172
|
2019-10-04
|
ADUSA, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984250
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2019-10-04 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2017
|
364307172
|
2018-07-03
|
ADUSA, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984252
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2018-07-03 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-03 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2016
|
364307172
|
2017-01-13
|
ADUSA, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984252
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2017-01-13 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-13 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2015
|
364307172
|
2016-02-04
|
ADUSA, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984252
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2016-02-03 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-03 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2014
|
364307172
|
2015-04-01
|
ADUSA, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984252
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2015-03-30 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-30 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2013
|
364307172
|
2014-02-04
|
ADUSA, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984252
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2014-01-30 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-30 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2012
|
364307172
|
2013-03-06
|
ADUSA, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6305984250
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 240, HOFFMAN ESTATES, IL, 60192
|
Signature of
Role |
Plan administrator |
Date |
2013-03-06 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ADUSA, INC. 401(K) PLAN
|
2011
|
364307172
|
2012-05-06
|
ADUSA, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
551112
|
Sponsor’s telephone number |
6306638800
|
Plan sponsor’s
address |
5407 TRILLIUM BLVD., SUITE 290, HOFFMAN ESTATES, IL, 60192
|
Plan administrator’s name and address
Administrator’s EIN |
364307172 |
Plan administrator’s name |
ADUSA, INC. |
Plan administrator’s
address |
5407 TRILLIUM BLVD., SUITE 290, HOFFMAN ESTATES, IL, 60192 |
Administrator’s telephone number |
6306638800 |
Signature of
Role |
Plan administrator |
Date |
2012-05-02 |
Name of individual signing |
JUAN PEREZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|