TITUS MEMORIAL HOME EMPLOYEES PROFIT SHARING PLAN
|
2013
|
370865085
|
2014-10-14
|
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2177284725
|
Plan
sponsor’s DBA name |
TITUS MANOR AT WYMAN PARK
|
Plan sponsor’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370865085 |
Plan administrator’s name |
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC |
Plan administrator’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177284725 |
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
DIANA BARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
DIANA BARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TITUS MEMORIAL HOME EMPLOYEES PROFIT SHARING PLAN
|
2012
|
370865085
|
2013-10-09
|
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2177284725
|
Plan
sponsor’s DBA name |
TITUS MANOR AT WYMAN PARK
|
Plan sponsor’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370865085 |
Plan administrator’s name |
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC |
Plan administrator’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177284725 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
DIANA BARKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TITUS MEMORIAL HOME EMPLOYEES PROFIT SHARING PLAN
|
2011
|
370865085
|
2012-07-25
|
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2177284725
|
Plan
sponsor’s DBA name |
TITUS MANOR AT WYMAN PARK
|
Plan sponsor’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370865085 |
Plan administrator’s name |
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC |
Plan administrator’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177284725 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
KATHY HAWBAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TITUS MEMORIAL HOME EMPLOYEES PROFIT SHARING PLAN
|
2010
|
370865085
|
2011-07-27
|
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2177284725
|
Plan
sponsor’s DBA name |
TITUS MANOR AT WYMAN PARK
|
Plan sponsor’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370865085 |
Plan administrator’s name |
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC |
Plan administrator’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177284725 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
KATHY HAWBAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TITUS MEMORIAL HOME EMPLOYEES PROFIT SHARING PLAN
|
2009
|
370865085
|
2010-10-08
|
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1988-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
2177184725
|
Plan sponsor’s mailing address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan sponsor’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370865085 |
Plan administrator’s name |
JOSEPH AND LOUISE TITUS MEMORIAL PRESBYTERIAN HOME INC |
Plan administrator’s
address |
513 NORTH WORTH STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177184725 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
12 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
KATHY HAWBAKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|