UNIVERSAL SLEEP ATTENTION CENTER 401(K) PLAN
|
2012
|
364473417
|
2013-10-10
|
UNIVERSAL SLEEP ATTENTION CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-07 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL SLEEP ATTENTION CENTER 412(I) DEFINED BENEFIT PLAN
|
2011
|
364473417
|
2012-10-15
|
UNIVERSAL SLEEP ATTENTION CENTER
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s mailing address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108
|
Plan sponsor’s
address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
364473417 |
Plan administrator’s name |
UNIVERSAL SLEEP ATTENTION CENTER |
Plan administrator’s
address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153974600 |
Number of participants as of the end of the plan year
Active participants |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL SLEEP ATTENTION CENTER 401(K) PLAN
|
2011
|
364473417
|
2012-10-15
|
UNIVERSAL SLEEP ATTENTION CENTER
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114
|
Plan administrator’s name and address
Administrator’s EIN |
364473417 |
Plan administrator’s name |
UNIVERSAL SLEEP ATTENTION CENTER |
Plan administrator’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114 |
Administrator’s telephone number |
8153974600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL SLEEP ATTENTION CENTER 412(I) DEFINED BENEFIT PLAN
|
2010
|
364473417
|
2011-10-17
|
UNIVERSAL SLEEP ATTENTION CENTER
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s mailing address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108
|
Plan sponsor’s
address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108
|
Plan administrator’s name and address
Administrator’s EIN |
364473417 |
Plan administrator’s name |
UNIVERSAL SLEEP ATTENTION CENTER |
Plan administrator’s
address |
4775 MANHATTAN DRIVE, ROCKFORD, IL, 61108 |
Administrator’s telephone number |
8153974600 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL SLEEP ATTENTION CENTER 401(K) PLAN
|
2010
|
364473417
|
2011-10-17
|
UNIVERSAL SLEEP ATTENTION CENTER
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114
|
Plan administrator’s name and address
Administrator’s EIN |
364473417 |
Plan administrator’s name |
UNIVERSAL SLEEP ATTENTION CENTER |
Plan administrator’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114 |
Administrator’s telephone number |
8153974600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNIVERSAL SLEEP ATTENTION CENTER 401(K) PLAN
|
2009
|
364473417
|
2010-10-15
|
UNIVERSAL SLEEP ATTENTION CENTER
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8153974600
|
Plan sponsor’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114
|
Plan administrator’s name and address
Administrator’s EIN |
364473417 |
Plan administrator’s name |
UNIVERSAL SLEEP ATTENTION CENTER |
Plan administrator’s
address |
6408 BRIGANTINE LANE, ROCKFORD, IL, 61114 |
Administrator’s telephone number |
8153974600 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
MARABELLA ALHAMBRA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|