PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2020
|
273409538
|
2021-09-21
|
PSYCHIATRY SPECIALISTS, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2021-09-21 |
Name of individual signing |
RICHELLE STRAUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-21 |
Name of individual signing |
RICHELLE STRAUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2020
|
273409538
|
2021-04-28
|
PSYCHIATRY SPECIALISTS, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2021-04-28 |
Name of individual signing |
RICHELLE STRAUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2019
|
273409538
|
2020-05-07
|
PSYCHIATRY SPECIALISTS, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2020-05-07 |
Name of individual signing |
RICHELLE STRAUSS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2018
|
273409538
|
2019-06-11
|
PSYCHIATRY SPECIALISTS, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2019-06-11 |
Name of individual signing |
RICHELLE PORAPAIBOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2017
|
273409538
|
2018-05-14
|
PSYCHIATRY SPECIALISTS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2018-05-14 |
Name of individual signing |
MARIA DOMINGUEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-14 |
Name of individual signing |
RICHELLE PORAPAIBOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PSYCHIATRY SPECIALISTS, INC 401(K) PLAN
|
2016
|
273409538
|
2017-06-22
|
PSYCHIATRY SPECIALISTS, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621112
|
Sponsor’s telephone number |
7739892780
|
Plan sponsor’s
address |
4753 N BROADWAY STREET, UNIT 925, CHICAGO, IL, 60640
|
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
RICHELLE PORAPAIBOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-22 |
Name of individual signing |
RICHELLE PORAPAIBOON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|