EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2012
|
364027327
|
2013-04-15
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 301, MATTESON, IL, 60443
|
Signature of
Role |
Plan administrator |
Date |
2013-04-15 |
Name of individual signing |
ADESEHA STEPHANIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-15 |
Name of individual signing |
ADESEHA STEPHANIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2011
|
364027327
|
2012-05-30
|
THE DUBOIS-DOUGLAS CENTRES
|
8
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 301, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 301, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2012-05-30 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-30 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2011
|
364027327
|
2012-05-31
|
THE DUBOIS-DOUGLAS CENTRES
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 301, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 301, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2012-05-31 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-31 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2010
|
364027327
|
2011-06-09
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-08-09
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
STEPHANIE ADESEHA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-08-06
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
STEPHANIE ADESEHA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-06 |
Name of individual signing |
STEPHANIE ADESEHA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-07-02
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
MARCEL MARTINS - MENSAH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-08-13
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Plan administrator |
Date |
2010-08-13 |
Name of individual signing |
STEPHANIE ADESEHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-13 |
Name of individual signing |
STEPHANIE ADESEHA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-08-10
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
|
EMPLOYEE BENEFIT PLAN OF THE DUBOIS-DOUGLAS CENTRES
|
2009
|
364027327
|
2010-07-02
|
THE DUBOIS-DOUGLAS CENTRES
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
7082830886
|
Plan sponsor’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443
|
Plan administrator’s name and address
Administrator’s EIN |
364027327 |
Plan administrator’s name |
THE DUBOIS-DOUGLAS CENTRES |
Plan administrator’s
address |
4747 LINCOLN MALL DR STE 502, MATTESON, IL, 60443 |
Administrator’s telephone number |
7082830886 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
MARCEL MARTINS-MENSAH |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|