GBC 401(K) PLAN & TRUST
|
2023
|
462279515
|
2024-07-29
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
484 W BOUGHTON RD STE C, BOLINGBROOK, IL, 604402478
|
Signature of
Role |
Plan administrator |
Date |
2024-07-29 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GBC 401(K) PLAN & TRUST
|
2022
|
462279515
|
2023-06-16
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
484 W BOUGHTON RD STE C, BOLINGBROOK, IL, 604402478
|
Signature of
Role |
Plan administrator |
Date |
2023-06-16 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GBC 401(K) PLAN & TRUST
|
2021
|
462279515
|
2022-07-29
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
109 ROYCE RD SUITE A, BOLINGBROOK, IL, 604400000
|
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GBC 401(K) PLAN & TRUST
|
2020
|
462279515
|
2021-07-13
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
109 ROYCE RD SUITE A, BOLINGBROOK, IL, 604400000
|
Signature of
Role |
Plan administrator |
Date |
2021-07-13 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GBC 401(K) PLAN & TRUST
|
2019
|
462279515
|
2020-07-09
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
109 ROYCE RD SUITE A, BOLINGBROOK, IL, 604400000
|
Signature of
Role |
Plan administrator |
Date |
2020-07-09 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GBC 401(K) PLAN & TRUST
|
2019
|
462279515
|
2020-07-01
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
7
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128588561
|
Plan sponsor’s
address |
109 ROYCE RD SUITE A, BOLINGBROOK, IL, 604400000
|
Signature of
Role |
Plan administrator |
Date |
2020-07-01 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORBOLD BEHAVIORAL CONSULTING, INC. 401(K) PLAN & TRUST
|
2018
|
462279515
|
2020-06-12
|
GORBOLD BEHAVIORAL CONSULTING, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128821024
|
Plan sponsor’s
address |
101 ROYCE RD STE 12, BOLINGBROOK, IL, 604401409
|
Signature of
Role |
Plan administrator |
Date |
2020-06-12 |
Name of individual signing |
STACEY GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-12 |
Name of individual signing |
STEPHANIE GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORBOLD BEHAVIORAL CONSULTING, INC. 401(K) PLAN & TRUST
|
2017
|
462279515
|
2018-10-08
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128821024
|
Plan sponsor’s
address |
101 ROYCE RD STE 12, BOLINGBROOK, IL, 604401409
|
Signature of
Role |
Plan administrator |
Date |
2018-10-08 |
Name of individual signing |
STEPHANIE GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-08 |
Name of individual signing |
STEPHANIE GORBOLD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GORBOLD BEHAVIORAL CONSULTING, INC. 401(K) PLAN & TRUST
|
2016
|
462279515
|
2017-03-13
|
GORBOLD BEHAVIORAL CONSULTING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
621330
|
Sponsor’s telephone number |
3128821024
|
Plan sponsor’s
address |
2108 W. NORTH AVE. #BS, CHICAGO, IL, 60647
|
|