| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-05-01
|
| Business code |
541600
|
| Sponsor’s telephone number |
6306940014
|
| Plan sponsor’s
address |
1146 WAUKEGAN ROAD, SUITE 301, WAUKEGAN, IL, 60085
|
Plan administrator’s name and address
| Administrator’s EIN |
010647882 |
| Plan administrator’s name |
SALUS, INC. |
| Plan administrator’s
address |
1146 WAUKEGAN ROAD, SUITE 301, WAUKEGAN, IL, 60085 |
| Administrator’s telephone number |
6306940014 |
Signature of
| Role |
Plan administrator |
| Date |
2010-04-19 |
| Name of individual signing |
CANDICE EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-04-19 |
| Name of individual signing |
CANDICE EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
