PATHWAY SENIOR LIVING, LLC 401(K) PLAN & TRUST
|
2012
|
364273297
|
2013-10-15
|
PATHWAY SENIOR LIVING, LLC.
|
638
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8477685109
|
Plan sponsor’s mailing address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan sponsor’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
364273297 |
Plan administrator’s name |
PATHWAY SENIOR LIVING, LLC. |
Plan administrator’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8477685109 |
Number of participants as of the end of the plan year
Active participants |
644 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
92 |
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 |
405 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
17 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRAKE-SCRUGGS EQUIPMENT, INC. RETIREMENT PLAN
|
2012
|
370817838
|
2013-05-06
|
DRAKE-SCRUGGS EQUIPMENT, INC.
|
76
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
2177533871
|
Plan sponsor’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554
|
Signature of
Role |
Plan administrator |
Date |
2013-05-06 |
Name of individual signing |
ANN MONTGOMERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATHWAY SENIOR LIVING, LLC 401(K) PLAN & TRUST
|
2011
|
364273297
|
2012-10-16
|
PATHWAY SENIOR LIVING, LLC.
|
260
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8477685109
|
Plan sponsor’s mailing address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan sponsor’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
364273297 |
Plan administrator’s name |
PATHWAY SENIOR LIVING, LLC. |
Plan administrator’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8477685109 |
Number of participants as of the end of the plan year
Active participants |
554 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
84 |
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 |
294 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
49 |
Signature of
Role |
Plan administrator |
Date |
2012-10-16 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRAKE-SCRUGGS EQUIPMENT, INC. RETIREMENT PLAN
|
2011
|
370817838
|
2012-06-18
|
DRAKE-SCRUGGS EQUIPMENT, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
2177533871
|
Plan sponsor’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554
|
Plan administrator’s name and address
Administrator’s EIN |
370817838 |
Plan administrator’s name |
DRAKE-SCRUGGS EQUIPMENT, INC. |
Plan administrator’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554 |
Administrator’s telephone number |
2177533871 |
Signature of
Role |
Plan administrator |
Date |
2012-06-18 |
Name of individual signing |
ANN MONTGOMERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATHWAY SENIOR LIVING, LLC 401(K) PLAN & TRUST
|
2010
|
364273297
|
2011-10-17
|
PATHWAY SENIOR LIVING, LLC.
|
178
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2005-02-01
|
Business code |
623000
|
Sponsor’s telephone number |
8477685109
|
Plan sponsor’s mailing address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan sponsor’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
364273297 |
Plan administrator’s name |
PATHWAY SENIOR LIVING, LLC. |
Plan administrator’s
address |
701 LEE STREET, SUITE 500, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8477685109 |
Number of participants as of the end of the plan year
Active participants |
208 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
52 |
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 |
248 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
17 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATHWAY SENIOR LIVING EMPLOYEE WELFARE BENEFIT PLAN
|
2010
|
364273297
|
2011-07-05
|
PATHWAY SENIOR LIVING, LLC
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8476354002
|
Plan sponsor’s mailing address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 60016
|
Plan sponsor’s
address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 60016
|
Plan administrator’s name and address
Administrator’s EIN |
364273297 |
Plan administrator’s name |
PATHWAY SENIOR LIVING, LLC |
Plan administrator’s
address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 60016 |
Administrator’s telephone number |
8476354002 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-05 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-05 |
Name of individual signing |
LISA ROGERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRAKE-SCRUGGS EQUIPMENT, INC. RETIREMENT PLAN
|
2010
|
370817838
|
2011-05-02
|
DRAKE-SCRUGGS EQUIPMENT, INC.
|
81
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
2177533871
|
Plan sponsor’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554
|
Plan administrator’s name and address
Administrator’s EIN |
370817838 |
Plan administrator’s name |
DRAKE-SCRUGGS EQUIPMENT, INC. |
Plan administrator’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554 |
Administrator’s telephone number |
2177533871 |
Signature of
Role |
Plan administrator |
Date |
2011-05-02 |
Name of individual signing |
ANN MONTGOMERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATHWAY SENIOR LIVING EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364273297
|
2010-03-02
|
PATHWAY SENIOR LIVING, LLC
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2009-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
8476354002
|
Plan sponsor’s mailing address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 600164545
|
Plan sponsor’s
address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 600164545
|
Plan administrator’s name and address
Administrator’s EIN |
364273297 |
Plan administrator’s name |
PATHWAY SENIOR LIVING, LLC |
Plan administrator’s
address |
701 LEE STREET, SUITE 450, DES PLAINES, IL, 600164545 |
Administrator’s telephone number |
8476354002 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-03-02 |
Name of individual signing |
MARIA OLIVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-02 |
Name of individual signing |
MARIA OLIVA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DRAKE-SCRUGGS EQUIPMENT, INC. RETIREMENT PLAN
|
2009
|
370817838
|
2010-06-23
|
DRAKE-SCRUGGS EQUIPMENT, INC.
|
80
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
2177533871
|
Plan sponsor’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554
|
Plan administrator’s name and address
Administrator’s EIN |
370817838 |
Plan administrator’s name |
DRAKE-SCRUGGS EQUIPMENT, INC. |
Plan administrator’s
address |
2000 SOUTH DIRKSEN PARKWAY, SPRINGFIELD, IL, 627034554 |
Administrator’s telephone number |
2177533871 |
Signature of
Role |
Plan administrator |
Date |
2010-06-23 |
Name of individual signing |
DRAKE-SCRUGGS EQUIPMENT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|