INX INTERNATIONAL INK CO. EAP
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
1038
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
2015-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL GROUP LONG-TERM DISABILITY PLAN
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
862
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1973-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Active participants |
857 |
Retired or separated participants receiving
benefits |
16 |
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL GROUP LIFE INSURANCE
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
1042
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1974-06-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL GROUP MEDICAL/DENTAL PLAN
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
986
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1974-06-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Active participants |
1006 |
Retired or separated participants receiving
benefits |
9 |
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL INK CO. SHORT-TERM DISABILITY PLAN (WAGE CONTINUANCE)
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
940
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1974-06-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL INK CO. SEVERANCE PAY PLAN
|
2016
|
360702910
|
2017-07-03
|
INX INTERNATIONAL INK CO.
|
982
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2004-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Active participants |
1018 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL GROUP LIFE INSURANCE
|
2015
|
360702910
|
2016-07-20
|
INX INTERNATIONAL INK CO.
|
1009
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
1974-06-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL GROUP LONG-TERM DISABILITY PLAN
|
2015
|
360702910
|
2016-07-20
|
INX INTERNATIONAL INK CO.
|
840
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
1973-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Active participants |
844 |
Retired or separated participants receiving
benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL INK CO. SEVERANCE PAY PLAN
|
2015
|
360702910
|
2016-07-20
|
INX INTERNATIONAL INK CO.
|
969
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2004-01-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Active participants |
982 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INX INTERNATIONAL INK CO. SHORT-TERM DISABILITY PLAN (WAGE CONTINUANCE)
|
2015
|
360702910
|
2016-07-20
|
INX INTERNATIONAL INK CO.
|
943
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1974-06-01
|
Business code |
325900
|
Sponsor’s telephone number |
6303821800
|
Plan sponsor’s mailing address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Plan sponsor’s
address |
150 N. MARTINGALE RD., SUITE 700, SCHAUMBURG, IL, 60173
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-20 |
Name of individual signing |
SUSAN SUPERGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|