J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2021
|
461999578
|
2022-09-30
|
J. REVELLO CHIROPRACTIC S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
CHIRO- MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2022-09-30 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-30 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2020
|
461999578
|
2021-02-19
|
J. REVELLO CHIROPRACTIC S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
CHIRO- MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2021-02-19 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-19 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2019
|
461999578
|
2020-10-10
|
J. REVELLO CHIROPRACTIC S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
CHIRO- MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2020-10-10 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-10 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2018
|
461999578
|
2019-10-14
|
J. REVELLO CHIROPRACTIC S.C.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
CHIRO- MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2019-10-14 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-14 |
Name of individual signing |
JOHN REVELLO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2017
|
461999578
|
2018-10-11
|
J. REVELLO CHIROPRACTIC S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
CHIRO- MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
JOHN REVELLO, DC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-11 |
Name of individual signing |
JOHN REVELLO, DC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
J. REVELLO CHIROPRACTIC S. C. 401(K) PLAN
|
2016
|
461999578
|
2017-10-12
|
J. REVELLO CHIROPRACTIC S.C.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621310
|
Sponsor’s telephone number |
7083854416
|
Plan
sponsor’s DBA name |
MED PAIN & WELLNESS
|
Plan sponsor’s
address |
13703 S CICERO AVE, CRESTWOOD, IL, 60445
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
JOHN REVELLO, DC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-12 |
Name of individual signing |
JOHN REVELLO, DC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|