PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 4
|
2023
|
262315484
|
2024-07-26
|
GILMAN HEALTHCARE CENTER LLC
|
102
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Signature of
Role |
Plan administrator |
Date |
2024-07-26 |
Name of individual signing |
BIJU KRISHNAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 4
|
2022
|
262315484
|
2023-10-13
|
GILMAN HEALTHCARE CENTER LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
BARAK BAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER HEALTHCARE MANAGEMENT 401(K) PLAN 4
|
2021
|
262315484
|
2022-10-12
|
GILMAN HEALTHCARE CENTER LLC
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
FLORA REZNIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GILMAN HEALTHCARE CENTER 401(K) PLAN
|
2015
|
262315484
|
2016-06-15
|
GILMAN HEALTHCARE CENTER LLC
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
|
GILMAN HEALTHCARE CENTER 401(K) PLAN
|
2014
|
262315484
|
2015-10-14
|
GILMAN HEALTHCARE CENTER LLC
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
BARACK BAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GILMAN HEALTHCARE CENTER 401(K) PLAN
|
2013
|
262315484
|
2014-10-15
|
GILMAN HEALTHCARE CENTER LLC
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Plan administrator’s name and address
Administrator’s EIN |
262315484 |
Plan administrator’s name |
GILMAN HEALTHCARE CENTER LLC |
Plan administrator’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938 |
Administrator’s telephone number |
8152657208 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
BARACK BAVER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GILMAN HEALTHCARE CENTER, 401(K) PLAN
|
2012
|
262315484
|
2013-09-24
|
GILMAN HEALTHCARE CENTER LLC
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-10-01
|
Business code |
623000
|
Sponsor’s telephone number |
8152657208
|
Plan sponsor’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938
|
Plan administrator’s name and address
Administrator’s EIN |
262315484 |
Plan administrator’s name |
GILMAN HEALTHCARE CENTER LLC |
Plan administrator’s
address |
1390 S. CRESCENT STREET, GILMAN, IL, 60938 |
Administrator’s telephone number |
8152657208 |
Signature of
Role |
Plan administrator |
Date |
2013-09-24 |
Name of individual signing |
JASON C. YOUNG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|