GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2023
|
274677078
|
2024-08-16
|
GENESIS PEDIATRIC MEDICINE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2024-08-16 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2022
|
274677078
|
2023-08-09
|
GENESIS PEDIATRIC MEDICINE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2023-08-09 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-09 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2021
|
274677078
|
2022-09-22
|
GENESIS PEDIATRIC MEDICINE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-22 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2020
|
274677078
|
2021-10-12
|
GENESIS PEDIATRIC MEDICINE
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2019
|
274677078
|
2020-07-20
|
GENESIS PEDIATRIC MEDICINE
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-20 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2018
|
274677078
|
2019-07-16
|
GENESIS PEDIATRIC MEDICINE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-16 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2017
|
274677078
|
2018-09-27
|
GENESIS PEDIATRIC MEDICINE
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2018-09-27 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-27 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2016
|
274677078
|
2017-07-13
|
GENESIS PEDIATRIC MEDICINE
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2017-07-12 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GENESIS PEDIATRIC MEDICINE 401(K) PLAN
|
2015
|
274677078
|
2016-09-22
|
GENESIS PEDIATRIC MEDICINE
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-10-01
|
Business code |
621111
|
Sponsor’s telephone number |
8158990001
|
Plan sponsor’s
address |
1680 MEDITERRANEAN DRIVE, SUITE 107, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2016-09-21 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-21 |
Name of individual signing |
KERRY REGNIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|