HCT CONSULTING 401(K) PLAN
|
2012
|
260887705
|
2013-07-22
|
HEALTHCARE TRANSFORMATION LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122147216
|
Plan sponsor’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252
|
Signature of
Role |
Plan administrator |
Date |
2013-07-22 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-22 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HCT CONSULTING 401(K) PLAN
|
2011
|
260887705
|
2012-07-12
|
HEALTHCARE TRANSFORMATION LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122147216
|
Plan sponsor’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252
|
Plan administrator’s name and address
Administrator’s EIN |
260887705 |
Plan administrator’s name |
HEALTHCARE TRANSFORMATION LLC |
Plan administrator’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252 |
Administrator’s telephone number |
3122147216 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-12 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HCT CONSULTING 401(K) PLAN
|
2010
|
554452359
|
2011-02-01
|
HEALTHCARE TRANSFORMATION LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122147216
|
Plan sponsor’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252
|
Plan administrator’s name and address
Administrator’s EIN |
554452359 |
Plan administrator’s name |
HEALTHCARE TRANSFORMATION LLC |
Plan administrator’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252 |
Administrator’s telephone number |
3122147216 |
Signature of
Role |
Plan administrator |
Date |
2011-02-01 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-01 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HCT CONSULTING 401(K) PLAN
|
2010
|
260887705
|
2011-05-23
|
HEALTHCARE TRANSFORMATION LLC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122147216
|
Plan sponsor’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252
|
Plan administrator’s name and address
Administrator’s EIN |
260887705 |
Plan administrator’s name |
HEALTHCARE TRANSFORMATION LLC |
Plan administrator’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252 |
Administrator’s telephone number |
3122147216 |
Signature of
Role |
Plan administrator |
Date |
2011-05-20 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-20 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HCT CONSULTING 401(K) PLAN
|
2009
|
554452359
|
2010-07-21
|
HEALTHCARE TRANSFORMATION LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
3122147216
|
Plan sponsor’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252
|
Plan administrator’s name and address
Administrator’s EIN |
554452359 |
Plan administrator’s name |
HEALTHCARE TRANSFORMATION LLC |
Plan administrator’s
address |
70 W MADISON ST, CHICAGO, IL, 606024252 |
Administrator’s telephone number |
3122147216 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
JACOB KUPIETZKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|