THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2017
|
370673465
|
2018-07-30
|
THE CARLE FOUNDATION
|
7081
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2179025329
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Number of participants as of the end of the plan year
Active participants |
7220 |
Retired or separated participants receiving
benefits |
55 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2016
|
370673465
|
2017-07-03
|
THE CARLE FOUNDATION
|
6939
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Number of participants as of the end of the plan year
Active participants |
7038 |
Retired or separated participants receiving
benefits |
43 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-03 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2015
|
370673465
|
2016-07-27
|
THE CARLE FOUNDATION
|
6702
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Number of participants as of the end of the plan year
Active participants |
6871 |
Retired or separated participants receiving
benefits |
51 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-27 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2014
|
370673465
|
2015-07-13
|
THE CARLE FOUNDATION
|
4602
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Number of participants as of the end of the plan year
Active participants |
4801 |
Retired or separated participants receiving
benefits |
29 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-13 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2013
|
370673465
|
2014-07-02
|
THE CARLE FOUNDATION
|
4392
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Number of participants as of the end of the plan year
Active participants |
4602 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-02 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2012
|
370673465
|
2013-05-25
|
THE CARLE FOUNDATION
|
4401
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
Administrator’s EIN |
370673465 |
Plan administrator’s name |
THE CARLE FOUNDATION |
Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
Administrator’s telephone number |
2173833138 |
Number of participants as of the end of the plan year
Active participants |
4392 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-25 |
Name of individual signing |
DENNIS HESCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2011
|
370673465
|
2012-06-19
|
THE CARLE FOUNDATION
|
4445
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
Administrator’s EIN |
370673465 |
Plan administrator’s name |
THE CARLE FOUNDATION |
Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
Administrator’s telephone number |
2173833138 |
Number of participants as of the end of the plan year
Active participants |
4401 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-06-19 |
Name of individual signing |
PHILIP KUBOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2010
|
370673465
|
2011-06-28
|
THE CARLE FOUNDATION
|
2255
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1979-05-10
|
Business code |
622000
|
Sponsor’s telephone number |
2173833138
|
Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
Administrator’s EIN |
370673465 |
Plan administrator’s name |
THE CARLE FOUNDATION |
Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
Administrator’s telephone number |
2173833138 |
Number of participants as of the end of the plan year
Active participants |
2413 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-28 |
Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|