PINEVIEW OF ROCKFORD 401(K) PLAN
|
2022
|
364609707
|
2024-03-05
|
PINEVIEW OF ROCKFORD
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-03-05 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2021
|
364609707
|
2023-10-23
|
PINEVIEW OF ROCKFORD
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2023-10-23 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2021
|
364609707
|
2022-09-23
|
PINEVIEW OF ROCKFORD
|
37
|
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-09-23 |
Name of individual signing |
TARA EVANS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2020
|
364609707
|
2021-09-17
|
PINEVIEW OF ROCKFORD
|
33
|
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2021-09-17 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2020
|
364609707
|
2022-01-19
|
PINEVIEW OF ROCKFORD
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2022-01-19 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2019
|
364609707
|
2020-09-09
|
PINEVIEW OF ROCKFORD
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-09-09 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2018
|
364609707
|
2020-01-24
|
PINEVIEW OF ROCKFORD
|
29
|
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-01-24 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2018
|
364609707
|
2020-01-27
|
PINEVIEW OF ROCKFORD
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
535 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2020-01-27 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2017
|
364609707
|
2019-11-20
|
PINEVIEW OF ROCKFORD
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
385 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2019-11-20 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINEVIEW OF ROCKFORD 401(K) PLAN
|
2017
|
364609707
|
2018-10-05
|
PINEVIEW OF ROCKFORD
|
28
|
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8158021400
|
Plan sponsor’s
address |
385 E. NORTH STREET, SUITE E, BRADLEY, IL, 60915
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-10-05 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|