NORTH SHORE SENIOR SERVICES, INC. 401K) PLAN
|
2020
|
364416063
|
2021-07-15
|
HOME INSTEAD SENIOR CARE
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2021-07-15 |
Name of individual signing |
JACQUELINE M MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-15 |
Name of individual signing |
JACQUELINE M MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2019
|
364416063
|
2021-03-02
|
HOME INSTEAD SENIOR CARE
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2021-03-02 |
Name of individual signing |
JACKIE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2018
|
364416063
|
2019-07-31
|
HOME INSTEAD SENIOR CARE
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
JACKIE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
JACKIE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2017
|
364416063
|
2018-07-17
|
HOME INSTEAD SENIOR CARE
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2016
|
364416063
|
2017-07-17
|
HOME INSTEAD SENIOR CARE
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2017-07-17 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-17 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2015
|
364416063
|
2016-07-07
|
HOME INSTEAD SENIOR CARE
|
98
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2016-07-07 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-07 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401K PLAN
|
2014
|
364354539
|
2017-02-14
|
WAYNE THOMAS WALKER INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621610
|
Sponsor’s telephone number |
6182347640
|
Plan sponsor’s
address |
2321 COUNTRY ROAD, BELLEVILLE, IL, 62221
|
Signature of
Role |
Plan administrator |
Date |
2017-02-14 |
Name of individual signing |
BETH ROUSSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2014
|
364416063
|
2015-07-07
|
HOME INSTEAD SENIOR CARE
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-07 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HOME INSTEAD SENIOR CARE 401K PLAN
|
2013
|
364354539
|
2014-07-28
|
WAYNE THOMAS WALKER INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-05-01
|
Business code |
621610
|
Sponsor’s telephone number |
6182347640
|
Plan sponsor’s
address |
2321 COUNTRY ROAD, BELLEVILLE, IL, 62221
|
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
BETH ROUSSEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTH SHORE SENIOR SERVICES, INC. 401(K) PLAN
|
2013
|
364416063
|
2014-07-08
|
HOME INSTEAD SENIOR CARE
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
621610
|
Sponsor’s telephone number |
8476731250
|
Plan sponsor’s
address |
8822 NILES CENTER RD, SKOKIE, IL, 600722216
|
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
JACQUELINE MELINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|