FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2023
|
371062186
|
2024-05-28
|
FREEBURG CARE CENTER INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2024-05-28 |
Name of individual signing |
AMBER GALLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2022
|
371062186
|
2023-06-09
|
FREEBURG CARE CENTER INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2023-06-09 |
Name of individual signing |
AMBER GALLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2021
|
371062186
|
2022-06-08
|
FREEBURG CARE CENTER INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2022-06-08 |
Name of individual signing |
AMBER GALLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2020
|
371062186
|
2021-09-07
|
FREEBURG CARE CENTER INC.
|
66
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2021-09-07 |
Name of individual signing |
JACK BOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2019
|
371062186
|
2020-07-16
|
FREEBURG CARE CENTER INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
LINDA WARDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER INC. 401(K) PROFIT SHARING PLAN
|
2018
|
371062186
|
2019-07-26
|
FREEBURG CARE CENTER INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2019-07-26 |
Name of individual signing |
LINDA WARDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER 401(K) PROFIT SHARING PLAN
|
2017
|
371062186
|
2018-07-26
|
FREEBURG CARE CENTER
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
LINDA WARDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-26 |
Name of individual signing |
LINDA WARDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER 401(K) PROFIT SHARING PLAN
|
2016
|
371062186
|
2017-06-23
|
FREEBURG CARE CENTER
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
BRENDA CULLUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-23 |
Name of individual signing |
BRENDA CULLUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER 401(K) PROFIT SHARING PLAN
|
2015
|
371062186
|
2016-07-29
|
FREEBURG CARE CENTER
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
BRENDA CULLUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FREEBURG CARE CENTER 401(K) PROFIT SHARING PLAN
|
2014
|
371062186
|
2015-07-27
|
FREEBURG CARE CENTER
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
6185395856
|
Plan sponsor’s
address |
746 URBANNA DRIVE, FREEBURG, IL, 62243
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
BRENDA CULLUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-27 |
Name of individual signing |
BRENDA CULLUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|