MARK SHALE PROFIT SHARING RETIREMENT PLAN
|
2011
|
270480522
|
2012-10-16
|
MS MARK SHALE LLC
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-05-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Active participants |
89 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
34 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
96 |
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 |
2012-10-16 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK SHALE PROFIT SHARING RETIREMENT PLAN
|
2010
|
270480522
|
2011-10-13
|
MS MARK SHALE LLC
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-05-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Active participants |
91 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
34 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
102 |
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 |
2011-10-13 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HOSPITAL MEDICAL & LIFE INSURANCE PLAN
|
2010
|
270480522
|
2011-07-26
|
MS MARK SHALE LLC
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1985-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan
sponsor’s DBA name |
MARK SHALE
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HOSPITAL MEDICAL & LIFE INSURANCE PLAN
|
2009
|
270480522
|
2010-10-14
|
MS MARK SHALE LLC
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1985-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan
sponsor’s DBA name |
MARK SHALE
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HOSPITAL MEDICAL & LIFE INSURANCE PLAN
|
2009
|
270480522
|
2010-10-13
|
MS MARK SHALE LLC
|
205
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1985-03-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan
sponsor’s DBA name |
MARK SHALE
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD, SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MARK SHALE PROFIT SHARING RETIREMENT PLAN
|
2009
|
270480522
|
2010-10-07
|
MS MARK SHALE LLC
|
203
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1965-05-01
|
Business code |
448190
|
Sponsor’s telephone number |
6304271100
|
Plan sponsor’s mailing address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
270480522 |
Plan administrator’s name |
MS MARK SHALE LLC |
Plan administrator’s
address |
10441 BEAUDIN BLVD., SUITE 100, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6304271100 |
Number of participants as of the end of the plan year
Active participants |
164 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
43 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
113 |
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 |
2010-10-07 |
Name of individual signing |
THOMAS RUSCIOLELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|