|
MEDIC HOME HEALTH CARE, LLC 401(K) P/S PLAN
|
2023
|
208434960
|
2024-09-16
|
MEDIC HOME HEALTH CARE, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6308026070
|
| Plan sponsor’s
address |
109 ROYCE RD STE D, BOLINGBROOK, IL, 60440
|
Signature of
| Role |
Plan administrator |
| Date |
2024-09-16 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-09-16 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDIC HOME HEALTH CARE, LLC 401(K) P/S PLAN
|
2022
|
208434960
|
2023-08-21
|
MEDIC HOME HEALTH CARE, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6308026070
|
| Plan sponsor’s
address |
109 ROYCE RD STE D, BOLINGBROOK, IL, 60440
|
Plan administrator’s name and address
| Administrator’s EIN |
208434960 |
| Plan administrator’s name |
MEDIC HOME HEALTH CARE, LLC |
| Plan administrator’s
address |
109 ROYCE RD STE D, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number |
6308026070 |
Signature of
| Role |
Plan administrator |
| Date |
2023-08-21 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDIC HOME HEALTH CARE, LLC 401(K) P/S PLAN
|
2021
|
208434960
|
2022-10-15
|
MEDIC HOME HEALTH CARE, LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6308026070
|
| Plan sponsor’s
address |
6912 MAIN ST STE 105, DOWNERS GROVE, IL, 60516
|
Plan administrator’s name and address
| Administrator’s EIN |
208434960 |
| Plan administrator’s name |
MEDIC HOME HEALTH CARE, LLC |
| Plan administrator’s
address |
6912 MAIN ST STE 105, DOWNERS GROVE, IL, 60516 |
| Administrator’s telephone number |
6308026070 |
Signature of
| Role |
Plan administrator |
| Date |
2022-10-15 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDIC HOME HEALTH CARE, LLC 401(K) P/S PLAN
|
2020
|
208434960
|
2021-09-27
|
MEDIC HOME HEALTH CARE, LLC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6308026070
|
| Plan sponsor’s
address |
550 E BOUGHTON RD STE 220, BOLINGBROOK, IL, 60440
|
Plan administrator’s name and address
| Administrator’s EIN |
208434960 |
| Plan administrator’s name |
MEDIC HOME HEALTH CARE, LLC |
| Plan administrator’s
address |
550 E BOUGHTON RD STE 220, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number |
6308026070 |
Signature of
| Role |
Plan administrator |
| Date |
2021-09-27 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MEDIC HOME HEALTH CARE, LLC 401(K) P/S PLAN
|
2019
|
208434960
|
2020-09-26
|
MEDIC HOME HEALTH CARE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
621610
|
| Sponsor’s telephone number |
6308026070
|
| Plan sponsor’s
address |
550 E BOUGHTON RD STE 220, BOLINGBROOK, IL, 60440
|
Plan administrator’s name and address
| Administrator’s EIN |
208434960 |
| Plan administrator’s name |
MEDIC HOME HEALTH CARE, LLC |
| Plan administrator’s
address |
550 E BOUGHTON RD STE 220, BOLINGBROOK, IL, 60440 |
| Administrator’s telephone number |
6308026070 |
Signature of
| Role |
Plan administrator |
| Date |
2020-09-26 |
| Name of individual signing |
JHOANA SOMOZA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
