FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2021
|
262519662
|
2022-09-08
|
FAMILY BEHAVIORAL HEALTH
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2022-09-08 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-08 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2020
|
262519662
|
2021-10-05
|
FAMILY BEHAVIORAL HEALTH
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2021-10-04 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-04 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2019
|
262519662
|
2020-05-04
|
FAMILY BEHAVIORAL HEALTH
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2020-05-04 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-04 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2018
|
262519662
|
2019-10-15
|
FAMILY BEHAVIORAL HEALTH
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2017
|
262519662
|
2018-10-15
|
FAMILY BEHAVIORAL HEALTH
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
MAHYAR PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2016
|
262519662
|
2017-10-10
|
FAMILY BEHAVIORAL HEALTH
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-10 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2015
|
262519662
|
2016-08-04
|
FAMILY BEHAVIORAL HEALTH
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2016-08-04 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-04 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2014
|
262519662
|
2015-07-28
|
FAMILY BEHAVIORAL HEALTH
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2015-07-28 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-28 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAMILY BEHAVIORAL HEALTH PROFIT SHARING PLAN & TRUST
|
2013
|
262519662
|
2014-10-03
|
FAMILY BEHAVIORAL HEALTH
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
8152547400
|
Plan sponsor’s
address |
24821 WEST 135TH STREET, PLAINFIELD, IL, 60544
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-02 |
Name of individual signing |
SHIRIN PARVIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|