BIBLE LEAGUE GROUP LIFE AND DISABILITY COVERAGE
|
2019
|
362037761
|
2020-07-09
|
BIBLE LEAGUE
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
95 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-02 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-02 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE GROUP LIFE AND DISABILITY COVERAGE
|
2018
|
362037761
|
2019-07-25
|
BIBLE LEAGUE
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
97 |
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 |
2019-07-24 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE GROUP LIFE AND DISABILITY COVERAGE
|
2017
|
362037761
|
2018-07-26
|
BIBLE LEAGUE
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
94 |
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 |
2018-07-25 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-25 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE HEALTH COVERAGE
|
2016
|
362037761
|
2017-07-13
|
BIBLE LEAGUE
|
100
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
82 |
Retired or separated participants receiving
benefits |
1 |
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 |
2017-07-12 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE GROUP LIFE, DISABILITY AND DENTAL COVERAGE
|
2016
|
362037761
|
2017-07-13
|
BIBLE LEAGUE
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
95 |
Retired or separated participants receiving
benefits |
1 |
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 |
2017-07-12 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-12 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE HEALTH COVERAGE
|
2015
|
362037761
|
2016-07-19
|
BIBLE LEAGUE
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
1 |
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 |
2016-07-19 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE GROUP LIFE, DISABILITY AND DENTAL COVERAGE
|
2015
|
362037761
|
2016-07-19
|
BIBLE LEAGUE
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Plan sponsor’s
address |
3801 EAGLE NEST DR, CRETE, IL, 604171993
|
Number of participants as of the end of the plan year
Active participants |
107 |
Retired or separated participants receiving
benefits |
1 |
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 |
2016-07-19 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-19 |
Name of individual signing |
RODNEY VAN DER AA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE HEALTH COVERAGE
|
2014
|
362037761
|
2015-07-24
|
BIBLE LEAGUE
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Plan sponsor’s
address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Number of participants as of the end of the plan year
Active participants |
94 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-24 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE GROUP LIFE, DISABILITY AND DENTAL COVERAGE
|
2014
|
362037761
|
2015-07-24
|
BIBLE LEAGUE
|
101
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2003-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Plan sponsor’s
address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-24 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-24 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BIBLE LEAGUE HEALTH COVERAGE
|
2013
|
362037761
|
2014-07-08
|
BIBLE LEAGUE
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2003-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
7083678500
|
Plan
sponsor’s DBA name |
BIBLE LEAGUE INTERNATIONAL
|
Plan sponsor’s mailing address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Plan sponsor’s
address |
3801 EAGLE NEST DRIVE, CRETE, IL, 60417
|
Number of participants as of the end of the plan year
Active participants |
90 |
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 |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-07-08 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-08 |
Name of individual signing |
JEFFREY EDER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|