EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
208082466
|
2019-10-11
|
EXTENDED HOME LIVING SERVICES, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8474030120
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2019-10-11 |
Name of individual signing |
DAVID HESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-11 |
Name of individual signing |
DAVID HESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
208082466
|
2018-10-04
|
EXTENDED HOME LIVING SERVICES, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8474030120
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2018-09-17 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-17 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
208082466
|
2017-10-11
|
EXTENDED HOME LIVING SERVICES, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8474030120
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2017-10-09 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-09 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
208082466
|
2016-10-13
|
EXTENDED HOME LIVING SERVICES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8474030120
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-13 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
208082466
|
2015-04-29
|
EXTENDED HOME LIVING SERVICES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2015-04-28 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-28 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
208082466
|
2014-05-23
|
EXTENDED HOME LIVING SERVICES, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-22 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
208082466
|
2013-04-23
|
EXTENDED HOME LIVING SERVICES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Signature of
Role |
Plan administrator |
Date |
2013-04-22 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-22 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
208082466
|
2012-03-19
|
EXTENDED HOME LIVING SERVICES, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004
|
Plan administrator’s name and address
Administrator’s EIN |
208082466 |
Plan administrator’s name |
EXTENDED HOME LIVING SERVICES, INC. |
Plan administrator’s
address |
210 W. CAMPUS DRIVE, SUITE B, ARLINGTON HEIGHTS, IL, 60004 |
Administrator’s telephone number |
8472159490 |
Signature of
Role |
Plan administrator |
Date |
2012-03-18 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-18 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
208082466
|
2011-02-05
|
EXTENDED HOME LIVING SERVICES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
555 N. WOLF ROAD, WHEELING, IL, 600903027
|
Plan administrator’s name and address
Administrator’s EIN |
208082466 |
Plan administrator’s name |
EXTENDED HOME LIVING SERVICES, INC. |
Plan administrator’s
address |
555 N. WOLF ROAD, WHEELING, IL, 600903027 |
Administrator’s telephone number |
8472159490 |
Signature of
Role |
Plan administrator |
Date |
2011-02-05 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-05 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXTENDED HOME LIVING SERVICES, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
208082466
|
2010-06-30
|
EXTENDED HOME LIVING SERVICES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
8472159490
|
Plan sponsor’s
address |
555 N. WOLF ROAD, WHEELING, IL, 600903027
|
Plan administrator’s name and address
Administrator’s EIN |
208082466 |
Plan administrator’s name |
EXTENDED HOME LIVING SERVICES, INC. |
Plan administrator’s
address |
555 N. WOLF ROAD, WHEELING, IL, 600903027 |
Administrator’s telephone number |
8472159490 |
Signature of
Role |
Plan administrator |
Date |
2010-06-29 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-29 |
Name of individual signing |
ELIZABETH CRANDALL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|