KELLEY WILLIAMSON CO LIFE INSURANCE
|
2023
|
361314080
|
2024-07-31
|
KELLEY WILLIAMSON COMPANY
|
171
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
184 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO DENTAL
|
2023
|
361314080
|
2024-07-31
|
KELLEY WILLIAMSON COMPANY
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2021-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO VISION PLAN
|
2023
|
361314080
|
2024-07-31
|
KELLEY WILLIAMSON COMPANY
|
205
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2012-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO HEALTH INSURANCE
|
2023
|
361314080
|
2024-07-31
|
KELLEY WILLIAMSON COMPANY
|
103
|
|
File |
View Page
|
Three-digit plan number (PN) |
705
|
Effective date of plan |
2019-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON COMPANY DENTAL
|
2022
|
361314080
|
2023-07-31
|
KELLEY WILLIAMSON COMPANY
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2021-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
118 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO VISION PLAN
|
2022
|
361314080
|
2023-07-31
|
KELLEY WILLIAMSON COMPANY
|
188
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2012-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
185 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON COMPANY LIFE INSURANCE
|
2022
|
361314080
|
2023-07-31
|
KELLEY WILLIAMSON COMPANY
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
171 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-31 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO HEALTH PLAN
|
2021
|
361314080
|
2022-06-09
|
KELLEY WILLIAMSON COMPANY
|
149
|
|
File |
View Page
|
Three-digit plan number (PN) |
605
|
Effective date of plan |
2020-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Active participants |
130 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO VISION PLAN
|
2021
|
361314080
|
2022-06-09
|
KELLEY WILLIAMSON COMPANY
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2012-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KELLEY WILLIAMSON CO BENEFITS
|
2021
|
361314080
|
2022-06-09
|
KELLEY WILLIAMSON COMPANY
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2010-01-01
|
Business code |
445120
|
Sponsor’s telephone number |
8153876214
|
Plan
sponsor’s DBA name |
KELLEY WILLIAMSON CO
|
Plan sponsor’s mailing address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Plan sponsor’s
address |
1132 HARRISON AVE, ROCKFORD, IL, 611047262
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-09 |
Name of individual signing |
KELLEY ROACH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|