JEL SERT GROUP HEALTH PLAN
|
2021
|
361279850
|
2023-03-02
|
JEL SERT CO
|
898
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
917 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2023-03-02 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-03-02 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2020
|
361279850
|
2022-01-19
|
JEL SERT CO
|
895
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
898 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-01-19 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-01-19 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2019
|
361279850
|
2021-03-16
|
JEL SERT CO
|
907
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan administrator’s name and address
Administrator’s EIN |
361279850 |
Plan administrator’s name |
JEL SERT CO |
Plan administrator’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433 |
Administrator’s telephone number |
6302317590 |
Number of participants as of the end of the plan year
Active participants |
892 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2021-03-16 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-03-16 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2018
|
361279850
|
2020-03-26
|
JEL SERT CO
|
953
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
907 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-03-26 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-26 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2017
|
361279850
|
2019-01-29
|
JEL SERT CO
|
949
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
953 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-01-29 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-29 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2016
|
361279850
|
2018-01-31
|
JEL SERT CO
|
980
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
949 |
Retired or separated participants receiving
benefits |
2 |
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 |
2018-01-31 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-31 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2015
|
361279850
|
2017-01-11
|
JEL SERT CO
|
2052
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Plan sponsor’s
address |
501 CONDE ST, WEST CHICAGO, IL, 601853433
|
Number of participants as of the end of the plan year
Active participants |
980 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-01-11 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-11 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2014
|
361279850
|
2016-04-07
|
JEL SERT CO
|
1034
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
HWY 59 AND CONDE ST, WEST CHICAGO, IL, 60185
|
Plan sponsor’s
address |
HWY 59 AND CONDE ST, WEST CHICAGO, IL, 60185
|
Number of participants as of the end of the plan year
Active participants |
2052 |
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 |
2016-04-07 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-07 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2013
|
361279850
|
2015-04-07
|
JEL SERT CO
|
1014
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6302317590
|
Plan sponsor’s mailing address |
HWY 59 AND CONDE ST, WEST CHICAGO, IL, 60185
|
Plan sponsor’s
address |
HWY 59 AND CONDE ST, WEST CHICAGO, IL, 60185
|
Number of participants as of the end of the plan year
Active participants |
1034 |
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 |
2015-04-07 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-07 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEL SERT CO GROUP HEALTH PLAN
|
2012
|
361279850
|
2014-01-29
|
JEL SERT CO
|
1034
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-02-01
|
Business code |
311900
|
Sponsor’s telephone number |
6308764721
|
Plan sponsor’s mailing address |
HWY 59 AND CONDE ST., PO BOX 261, WEST CHICAGO, IL, 601860261
|
Plan sponsor’s
address |
HWY 59 AND CONDE ST., PO BOX 261, WEST CHICAGO, IL, 601860261
|
Number of participants as of the end of the plan year
Active participants |
1028 |
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 |
2014-01-29 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-01-29 |
Name of individual signing |
JUAN CHAVEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|