DECATUR HEALTHCARE, L.L.C. 401(K) PLAN & TRUST
|
2011
|
680504779
|
2012-06-06
|
DECATUR HEALTHCARE, L.L.C.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-09-01
|
Business code |
621493
|
Sponsor’s telephone number |
2174241021
|
Plan sponsor’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
680504779 |
Plan administrator’s name |
DECATUR HEALTHCARE, L.L.C. |
Plan administrator’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521 |
Administrator’s telephone number |
2174241021 |
Signature of
Role |
Plan administrator |
Date |
2012-06-06 |
Name of individual signing |
THOMAS PLIURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR HEALTHCARE, L.L.C. 401(K) PLAN & TRUST
|
2011
|
680504779
|
2012-12-11
|
DECATUR HEALTHCARE, L.L.C.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-09-01
|
Business code |
621493
|
Sponsor’s telephone number |
2174241021
|
Plan sponsor’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
680504779 |
Plan administrator’s name |
DECATUR HEALTHCARE, L.L.C. |
Plan administrator’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521 |
Administrator’s telephone number |
2174241021 |
Signature of
Role |
Plan administrator |
Date |
2012-12-11 |
Name of individual signing |
THOMAS PLIURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR HEALTHCARE, L.L.C. 401(K) PLAN & TRUST
|
2010
|
680504779
|
2011-07-14
|
DECATUR HEALTHCARE, L.L.C.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-09-01
|
Business code |
621493
|
Sponsor’s telephone number |
2174241021
|
Plan sponsor’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
680504779 |
Plan administrator’s name |
DECATUR HEALTHCARE, L.L.C. |
Plan administrator’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521 |
Administrator’s telephone number |
2174241021 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
THOMAS PLIURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DECATUR HEALTHCARE, L.L.C. 401(K) PLAN & TRUST
|
2009
|
680504779
|
2010-07-21
|
DECATUR HEALTHCARE, L.L.C.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-09-01
|
Business code |
621493
|
Sponsor’s telephone number |
2174241021
|
Plan sponsor’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521
|
Plan administrator’s name and address
Administrator’s EIN |
680504779 |
Plan administrator’s name |
DECATUR HEALTHCARE, L.L.C. |
Plan administrator’s
address |
1770 EAST LAKE SHORE DRIVE, LL-2, DECATUR, IL, 62521 |
Administrator’s telephone number |
2174241021 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
THOMAS PLIURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|