|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2023
|
611443327
|
2024-06-07
|
EVERGREEN CARE CENTER, LTD.
|
35
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2024-06-07 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2022
|
611443327
|
2023-07-11
|
EVERGREEN CARE CENTER, LTD.
|
38
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-11 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2021
|
611443327
|
2022-05-11
|
EVERGREEN CARE CENTER, LTD.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2022-05-11 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2020
|
611443327
|
2021-06-03
|
EVERGREEN CARE CENTER, LTD.
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2021-05-19 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2019
|
611443327
|
2020-06-18
|
EVERGREEN CARE CENTER, LTD.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2020-06-18 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2018
|
611443327
|
2019-08-12
|
EVERGREEN CARE CENTER, LTD.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2019-08-12 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EVERGREEN CARE CENTER RETIREMENT PLAN
|
2017
|
611443327
|
2018-07-27
|
EVERGREEN CARE CENTER, LTD.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
621111
|
| Sponsor’s telephone number |
7084236209
|
| Plan sponsor’s
address |
9760 S. KEDZIE AVE. #3, EVERGREEN PARK, IL, 60805
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-27 |
| Name of individual signing |
AWLENE O'CALLAGHAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
