CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2018
|
204124588
|
2019-10-07
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
|
CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2018
|
204124588
|
2019-07-18
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2019-07-18 |
Name of individual signing |
ROBERT FICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2017
|
204124588
|
2018-03-27
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2018-03-27 |
Name of individual signing |
ROBERT FICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2016
|
204124588
|
2017-08-31
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2017-08-31 |
Name of individual signing |
ROBERT FICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2015
|
204124588
|
2016-01-06
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2016-01-06 |
Name of individual signing |
ROBERT FICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CATEGORY CAPTAIN, LLC RETIREMENT PLAN
|
2014
|
204124588
|
2015-07-27
|
CATEGORY CAPTAIN, LLC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
541910
|
Sponsor’s telephone number |
3129818481
|
Plan sponsor’s
address |
203 S. SANGAMON STREET, SUITE 306, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
ROBERT FICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEHAVIORAL HEALTH ALTERNATIVES 403(B) PLAN
|
2011
|
371157919
|
2012-06-22
|
BEHAVIORAL HEALTH ALTERNATIVES
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
6182514073
|
Plan sponsor’s
address |
337 E. FERGUSON, WOOD RIVER, IL, 62095
|
Plan administrator’s name and address
Administrator’s EIN |
371157919 |
Plan administrator’s name |
BEHAVIORAL HEALTH ALTERNATIVES |
Plan administrator’s
address |
337 E. FERGUSON, WOOD RIVER, IL, 62095 |
Administrator’s telephone number |
6182514073 |
Signature of
Role |
Plan administrator |
Date |
2012-06-22 |
Name of individual signing |
BELINDA GUNNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEHAVIORAL HEALTH ALTERNATIVES 403(B) PLAN
|
2010
|
371157919
|
2011-08-02
|
BEHAVIORAL HEALTH ALTERNATIVES
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
6182514073
|
Plan sponsor’s
address |
337 E. FERGUSON, WOOD RIVER, IL, 62095
|
Plan administrator’s name and address
Administrator’s EIN |
371157919 |
Plan administrator’s name |
BEHAVIORAL HEALTH ALTERNATIVES |
Plan administrator’s
address |
337 E. FERGUSON, WOOD RIVER, IL, 62095 |
Administrator’s telephone number |
6182514073 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
BELINDA GUNNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF BEHAVIORAL HEALTH ALTERNATIVES, INC.
|
2009
|
371157919
|
2010-07-27
|
BEHAVIORAL HEALTH ALTERNATIVES, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
6182514073
|
Plan sponsor’s
address |
337 E. FERGUSON AVE., WOOD RIVER, IL, 620952003
|
Plan administrator’s name and address
Administrator’s EIN |
371157919 |
Plan administrator’s name |
BEHAVIORAL HEALTH ALTERNATIVES, INC. |
Plan administrator’s
address |
337 E. FERGUSON AVE., WOOD RIVER, IL, 620952003 |
Administrator’s telephone number |
6182514073 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-27 |
Name of individual signing |
BELINDA GUNNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF BEHAVIORAL HEALTH ALTERNATIVES, INC.
|
2009
|
371157919
|
2010-07-27
|
BEHAVIORAL HEALTH ALTERNATIVES, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-07-01
|
Business code |
621420
|
Sponsor’s telephone number |
6182514073
|
Plan sponsor’s
address |
337 E. FERGUSON AVE., WOOD RIVER, IL, 620952003
|
Plan administrator’s name and address
Administrator’s EIN |
371157919 |
Plan administrator’s name |
BEHAVIORAL HEALTH ALTERNATIVES, INC. |
Plan administrator’s
address |
337 E. FERGUSON AVE., WOOD RIVER, IL, 620952003 |
Administrator’s telephone number |
6182514073 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
BELINDA GUNNING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|