| Plan Name | JOHN EVANS SUPPORTIVE LIVING 401(K) PLAN |
| Plan identification number | 101 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | PEKIN DEVELOPMENT CORPORATION OF ILLINOIS, INC. |
| Employer identification number (EIN): | 412241378 |
| NAIC Classification: | 623000 |
| NAIC Description: | Nursing and Residential Care Facilities |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 101 | 2022-01-01 | TARA EVANS, FOR TAG RESOURCES | 2024-03-05 | ||
| 101 | 2021-01-01 | TARA EVANS | 2022-09-23 | ||
| 101 | 2021-01-01 | TARA EVANS, FOR TAG RESOURCES | 2023-10-23 | ||
| 101 | 2020-01-01 | PHIL TISUE | 2021-09-17 | ||
| 101 | 2020-01-01 | PHIL TISUE | 2021-10-06 | ||
| 101 | 2019-01-01 | PHIL TISUE | 2020-08-29 | ||
| 101 | 2017-01-01 | PHIL TISUE | 2018-10-05 | ||
| 101 | 2016-01-01 | PHIL TISUE | 2017-10-10 | ||
| 101 | 2013-01-01 | PHIL TISUE | 2014-07-08 | ||
| 101 | 2012-01-01 | PHIL TISUE | 2013-09-27 |