MENDOTA COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN
|
2012
|
362167785
|
2013-04-12
|
MENDOTA COMMUNITY HOSPITAL
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1991-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
8155397461
|
Plan sponsor’s
address |
1401 E 12TH STREET, MENDOTA, IL, 613421447
|
Signature of
Role |
Plan administrator |
Date |
2013-04-12 |
Name of individual signing |
KIM KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-12 |
Name of individual signing |
KIM KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENDOTA COMMUNITY HOSPITAL EMPLOYEES' PENSION PLAN
|
2011
|
362167785
|
2012-07-19
|
MENDOTA COMMUNITY HOSPITAL
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1991-07-01
|
Business code |
622000
|
Sponsor’s telephone number |
8155397461
|
Plan sponsor’s
address |
1401 E 12TH STREET, MENDOTA, IL, 613421447
|
Plan administrator’s name and address
Administrator’s EIN |
362167785 |
Plan administrator’s name |
MENDOTA COMMUNITY HOSPITAL |
Plan administrator’s
address |
1401 E 12TH STREET, MENDOTA, IL, 613421447 |
Administrator’s telephone number |
8155397461 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
KIM KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-19 |
Name of individual signing |
KIM KENNEDY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|