ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2016
|
562665731
|
2017-10-09
|
ASSISTED SERVICES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
7536 W. CARMEN AVENUE, HARWOOD HEIGHTS, IL, 60706
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2015
|
562665731
|
2016-06-22
|
ASSISTED SERVICES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
7536 W. CARMEN AVENUE, HARWOOD HEIGHTS, IL, 60706
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2014
|
562665731
|
2015-09-27
|
ASSISTED SERVICES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
7536 W. CARMEN AVENUE, HARWOOD HEIGHTS, IL, 60706
|
Signature of
Role |
Plan administrator |
Date |
2015-09-27 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2013
|
562665731
|
2014-03-27
|
ASSISTED SERVICES, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
7536 W. CARMEN AVENUE, HARWOOD HEIGHTS, IL, 60706
|
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2012
|
562665731
|
2013-09-30
|
ASSISTED SERVICES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
7536 W. CARMEN AVENUE, HARWOOD HEIGHTS, IL, 60706
|
Signature of
Role |
Plan administrator |
Date |
2013-09-30 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2011
|
562665731
|
2012-09-11
|
ASSISTED SERVICES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
562665731 |
Plan administrator’s name |
ASSISTED SERVICES, INC. |
Plan administrator’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093 |
Administrator’s telephone number |
8475014622 |
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-07 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2010
|
562665731
|
2011-03-22
|
ASSISTED SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
562665731 |
Plan administrator’s name |
ASSISTED SERVICES, INC. |
Plan administrator’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093 |
Administrator’s telephone number |
8475014622 |
Signature of
Role |
Plan administrator |
Date |
2011-03-01 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-01 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ASSISTED SERVICES, INC. PROFIT SHARING 401(K) PLAN
|
2009
|
562665731
|
2010-08-31
|
ASSISTED SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-01-01
|
Business code |
624200
|
Sponsor’s telephone number |
8475014622
|
Plan sponsor’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093
|
Plan administrator’s name and address
Administrator’s EIN |
562665731 |
Plan administrator’s name |
ASSISTED SERVICES, INC. |
Plan administrator’s
address |
778 FRONTAGE ROAD, SUITE 101, NORTHFIELD, IL, 60093 |
Administrator’s telephone number |
8475014622 |
Signature of
Role |
Plan administrator |
Date |
2010-08-30 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-30 |
Name of individual signing |
DOUG NIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|