QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2021
|
370661231
|
2022-12-28
|
QUINCY UNIVERSITY
|
141
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172228020
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-12-28 |
Name of individual signing |
DIANE KEMNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-12-28 |
Name of individual signing |
DIANE KEMNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2020
|
370661231
|
2021-12-27
|
QUINCY UNIVERSITY
|
142
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172228020
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-12-27 |
Name of individual signing |
DIANE KEMNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2019
|
370661231
|
2020-12-18
|
QUINCY UNIVERSITY
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172228020
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-12-18 |
Name of individual signing |
DIANE KEMNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2018
|
370661231
|
2019-11-25
|
QUINCY UNIVERSITY
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172228020
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-11-25 |
Name of individual signing |
TANYA MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2017
|
370661231
|
2018-11-27
|
QUINCY UNIVERSITY
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172228020
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-11-27 |
Name of individual signing |
TANYA MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2016
|
370661231
|
2017-11-21
|
QUINCY UNIVERSITY CORPORATION
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-21 |
Name of individual signing |
TANYA MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH AND WELFARE PLAN
|
2015
|
370661231
|
2017-01-23
|
QUINCY UNIVERSITY CORPORATION
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172285432
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670
|
Plan administrator’s name and address
Administrator’s EIN |
370661231 |
Plan administrator’s name |
QUINCY UNIVERSITY CORPORATION |
Plan administrator’s
address |
1800 COLLEGE AVE, QUINCY, IL, 623012670 |
Administrator’s telephone number |
2172285432 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-23 |
Name of individual signing |
TANYA MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY PLAN FOR OTHER RETIREMENT
|
2013
|
370661231
|
2017-04-26
|
QUINCY UNIVERSITY
|
179
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1956-09-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172285432
|
Plan sponsor’s mailing address |
1800 COLLEGE AVE, QUINCY, IL, 62301
|
Plan sponsor’s
address |
1800 COLLEGE AVE, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-04-25 |
Name of individual signing |
TANYA MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY HEALTH INSURANCE PLAN
|
2013
|
370661231
|
2015-12-11
|
QUINCY UNIVERSITY
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1975-05-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172285432
|
Plan sponsor’s mailing address |
1800 COLLEGE AVENUE, QUINCY, IL, 62301
|
Plan sponsor’s
address |
1800 COLLEGE AVENUE, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-12-11 |
Name of individual signing |
TANYA HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUINCY UNIVERSITY TRAVEL ACCIDENT PLAN
|
2013
|
370661231
|
2015-12-11
|
QUINCY UNIVERSITY CORPORATION
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1973-07-01
|
Business code |
611000
|
Sponsor’s telephone number |
2172285432
|
Plan sponsor’s mailing address |
1800 COLLEGE AVENUE, QUINCY, IL, 62301
|
Plan sponsor’s
address |
1800 COLLEGE AVENUE, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-12-11 |
Name of individual signing |
TANYA HARVEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|