EDWARD DON & COMPANY GROUP MEDICAL INSURANCE PLAN
|
2015
|
362081964
|
2017-09-15
|
EDWARD DON & COMPANY
|
805
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
749 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
JAMES JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-14 |
Name of individual signing |
JAMES JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP LIFE INSURANCE PLAN
|
2015
|
362081964
|
2016-07-15
|
EDWARD DON & COMPANY
|
565
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1971-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
JAMES JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP MEDICAL INSURANCE PLAN
|
2015
|
362081964
|
2016-06-15
|
EDWARD DON & COMPANY
|
805
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-06-15 |
Name of individual signing |
JAMES JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP LIFE INSURANCE PLAN
|
2014
|
362081964
|
2015-07-20
|
EDWARD DON & COMPANY
|
1647
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1971-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
1699 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP MEDICAL INSURANCE PLAN
|
2014
|
362081964
|
2015-07-09
|
EDWARD DON & COMPANY
|
634
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
640 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP MEDICAL INSURANCE PLAN
|
2013
|
362081964
|
2014-07-17
|
EDWARD DON & COMPANY
|
602
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
634 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP LIFE INSURANCE PLAN
|
2013
|
362081964
|
2014-07-17
|
EDWARD DON & COMPANY
|
1584
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1971-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
9801 ADAM DON PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
1647 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-17 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP MEDICAL INSURANCE PLAN
|
2012
|
362081964
|
2013-05-31
|
EDWARD DON & COMPANY
|
613
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan sponsor’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
602 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-31 |
Name of individual signing |
JACQUELINE A. WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-31 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP LIFE INSURANCE PLAN
|
2012
|
362081964
|
2013-05-31
|
EDWARD DON & COMPANY
|
1634
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1971-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan sponsor’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Active participants |
1584 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-05-31 |
Name of individual signing |
JACQUELINE A. WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-31 |
Name of individual signing |
JAMES P. JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EDWARD DON & COMPANY GROUP LIFE INSURANCE PLAN
|
2011
|
362081964
|
2012-07-27
|
EDWARD DON & COMPANY
|
1678
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1971-07-01
|
Business code |
423400
|
Sponsor’s telephone number |
7084429400
|
Plan sponsor’s mailing address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan sponsor’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415
|
Plan administrator’s name and address
Administrator’s EIN |
362081964 |
Plan administrator’s name |
EDWARD DON & COMPANY |
Plan administrator’s
address |
2500 S. HARLEM AVENUE, NORTH RIVERSIDE, IL, 605461415 |
Administrator’s telephone number |
7084429400 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
JACQUELINE A. WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
JAMES P JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|