METLIFE DENTAL
|
2011
|
362166947
|
2013-04-18
|
AMERICAN LIBRARY ASSOCIATION
|
577
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
569 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-18 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT
|
2011
|
362166947
|
2012-10-09
|
AMERICAN LIBRARY ASSOCIATION
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2006-12-18
|
Business code |
813000
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Number of participants as of the end of the plan year
Active participants |
360 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METLIFE DENTAL
|
2011
|
362166947
|
2012-10-09
|
AMERICAN LIBRARY ASSOCIATION
|
577
|
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
569 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT
|
2011
|
362166947
|
2012-10-09
|
AMERICAN LIBRARY ASSOCIATION
|
360
|
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2006-12-18
|
Business code |
813000
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Number of participants as of the end of the plan year
Active participants |
360 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HMO ILLINOIS
|
2011
|
362166947
|
2012-10-03
|
AMERICAN LIBRARY ASSOCIATION
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1971-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
234 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2011
|
362166947
|
2012-10-03
|
AMERICAN LIBRARY ASSOCIATION
|
242
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
247 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRUDENTIAL LIFE
|
2011
|
362166947
|
2012-10-04
|
AMERICAN LIBRARY ASSOCIATION
|
348
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1987-09-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
344 |
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 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT
|
2010
|
362166947
|
2013-01-23
|
AMERICAN LIBRARY ASSOCIATION
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2006-12-18
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
360 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-01-23 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-23 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT
|
2010
|
362166947
|
2013-01-23
|
AMERICAN LIBRARY ASSOCIATION
|
360
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2006-12-18
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
360 |
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 |
Signature of
Role |
Plan administrator |
Date |
2013-01-23 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-23 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
METLIFE DENTAL
|
2010
|
362166947
|
2011-07-14
|
AMERICAN LIBRARY ASSOCIATION
|
534
|
|
File |
View Page
|
Three-digit plan number (PN) |
509
|
Effective date of plan |
2008-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
3122804253
|
Plan sponsor’s mailing address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan sponsor’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611
|
Plan administrator’s name and address
Administrator’s EIN |
362166947 |
Plan administrator’s name |
AMERICAN LIBRARY ASSOCIATION |
Plan administrator’s
address |
50 EAST HURON STREET, CHICAGO, IL, 60611 |
Administrator’s telephone number |
3122804253 |
Number of participants as of the end of the plan year
Active participants |
577 |
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 |
Signature of
Role |
Plan administrator |
Date |
2011-07-14 |
Name of individual signing |
RUSSELL SWEDOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|