CRESCENT CARDBOARD GROUP HEALTH LIFE AND DENTAL PLAN FOR EMPLOYEES OF POTOMAC CORPORATION
|
2013
|
360897610
|
2014-06-13
|
POTOMAC CORPORATION
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-30
|
Business code |
322200
|
Sponsor’s telephone number |
8472590546
|
Plan sponsor’s mailing address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan sponsor’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-06-13 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-13 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRESCENT CARDBOARD GROUP HEALTH LIFE AND DENTAL PLAN FOR EMPLOYEES OF POTOMAC CORPORATION
|
2012
|
360897610
|
2014-03-27
|
POTOMAC CORPORATION
|
140
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-30
|
Business code |
322200
|
Sponsor’s telephone number |
8472590546
|
Plan sponsor’s mailing address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan sponsor’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
360897610 |
Plan administrator’s name |
POTOMAC CORPORATION |
Plan administrator’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090 |
Administrator’s telephone number |
8472590546 |
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-03-27 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-27 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRESCENT CARDBOARD GROUP HEALTH LIFE AND DENTAL PLAN FOR EMPLOYEES OF POTOMAC CORPORATION
|
2011
|
360897610
|
2013-03-21
|
POTOMAC CORPORATION
|
134
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-30
|
Business code |
322200
|
Sponsor’s telephone number |
8472590546
|
Plan sponsor’s mailing address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan sponsor’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
360897610 |
Plan administrator’s name |
POTOMAC CORPORATION |
Plan administrator’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090 |
Administrator’s telephone number |
8472590546 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-03-21 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRESCENT CARDBOARD GROUP HEALTH LIFE AND DENTAL PLAN FOR EMPLOYEES OF POTOMAC CORPORATION
|
2010
|
360897610
|
2012-02-29
|
POTOMAC CORPORATION
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-30
|
Business code |
322200
|
Sponsor’s telephone number |
8472590546
|
Plan sponsor’s mailing address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan sponsor’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
360897610 |
Plan administrator’s name |
POTOMAC CORPORATION |
Plan administrator’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090 |
Administrator’s telephone number |
8472590546 |
Number of participants as of the end of the plan year
Active participants |
126 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2012-02-29 |
Name of individual signing |
KEVIN MCCARTHY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CRESCENT CARDBOARD GROUP HEALTH LIFE AND DENTAL PLAN FOR EMPLOYEES OF POTOMAC CORPORATION
|
2009
|
360897610
|
2011-02-14
|
POTOMAC CORPORATION
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1988-09-30
|
Business code |
322200
|
Sponsor’s telephone number |
8472590546
|
Plan sponsor’s mailing address |
2063 FOSTER AVENUE, WHEELING, IL, 600906522
|
Plan sponsor’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
360897610 |
Plan administrator’s name |
POTOMAC CORPORATION |
Plan administrator’s
address |
2063 FOSTER AVENUE, WHEELING, IL, 60090 |
Administrator’s telephone number |
8472590546 |
Number of participants as of the end of the plan year
Active participants |
127 |
Retired or separated participants receiving
benefits |
8 |
Signature of
Role |
Plan administrator |
Date |
2011-02-14 |
Name of individual signing |
TERRY BOFFELI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-14 |
Name of individual signing |
TERRY BOFFELI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|