UNITED SENIOR SERVICES PROFIT SHARING PLAN
|
2019
|
208653303
|
2020-10-29
|
UNITED SENIOR SERVICES INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6309290760
|
Plan sponsor’s
address |
2425 75TH STREET, WOODRIDGE, IL, 60561
|
Signature of
Role |
Plan administrator |
Date |
2020-10-28 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-28 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED SENIOR SERVICES PROFIT SHARING PLAN
|
2019
|
208653303
|
2020-05-18
|
UNITED SENIOR SERVICES INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6309290760
|
Plan sponsor’s
address |
2425 75TH STREET, WOODRIDGE, IL, 60561
|
Signature of
Role |
Plan administrator |
Date |
2020-05-18 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-18 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED SENIOR SERVICES PROFIT SHARING PLAN
|
2018
|
208653303
|
2019-10-01
|
UNITED SENIOR SERVICES INC
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6309290760
|
Plan sponsor’s
address |
2425 75TH STREET, WOODRIDGE, IL, 60561
|
Signature of
Role |
Plan administrator |
Date |
2019-09-25 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-25 |
Name of individual signing |
WILLIAM SWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED SENIOR SERVICES PROFIT SHARING PLAN
|
2017
|
208653303
|
2018-10-11
|
UNITED SENIOR SERVICES INC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306325466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
823519275 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
THOMAS BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
THOMAS BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED SENIOR SERVICES PROFIT SHARING TRUST
|
2016
|
463707387
|
2017-10-13
|
UNITED SENIOR SERVICES INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306322466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
462044913 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
|
UNITED SENIOR SERVICES PROFIT SHARING PLAN
|
2016
|
208653303
|
2018-10-11
|
UNITED SENIOR SERVICES INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6309290760
|
Plan sponsor’s
address |
2425 75TH STREET, WOODRIDGE, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
823519275 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
THOMAS BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
THOMAS BERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED SENIOR SERVICES PROFIT SHARING TRUST
|
2015
|
463707387
|
2016-10-10
|
UNITED SENIOR SERVICES INC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306322466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
462044913 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
|
UNITED SENIOR SERVICES PROFIT SHARING TRUST
|
2015
|
463707387
|
2016-10-10
|
UNITED SENIOR SERVICES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306322466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
462044913 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
|
UNITED SENIOR SERVICES PROFIT SHARING TRUST
|
2015
|
463707387
|
2016-10-09
|
UNITED SENIOR SERVICES INC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306322466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
462044913 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
|
UNITED SENIOR SERVICES PROFIT SHARING TRUST
|
2014
|
463707387
|
2015-10-13
|
UNITED SENIOR SERVICES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
812190
|
Sponsor’s telephone number |
6306322466
|
Plan sponsor’s
address |
2849 83RD STREET, DARIEN, IL, 60561
|
Plan administrator’s name and address
Administrator’s EIN |
462044913 |
Plan administrator’s name |
THOMAS R BERG CPA |
Plan administrator’s
address |
415 FERNWOOD DRIVE, WESTMONT, IL, 60559 |
Administrator’s telephone number |
6306322466 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
VERNON JOHNSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|