FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2012
|
370723793
|
2013-07-18
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2177325046
|
Plan sponsor’s
address |
200 STAHLHUT DRIVE, LINCOLN, IL, 62656
|
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-18 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2011
|
370723793
|
2013-01-28
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2177325046
|
Plan sponsor’s
address |
200 STAHLHUT DRIVE, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
370723793 |
Plan administrator’s name |
ABRAHAM LINCOLN MEMORIAL HOSPITAL |
Plan administrator’s
address |
200 STAHLHUT DRIVE, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177325046 |
Signature of
Role |
Plan administrator |
Date |
2013-01-28 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-28 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL GROUP DENTAL PLAN
|
2011
|
370723793
|
2012-10-11
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL
|
214
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
1993-09-01
|
Business code |
622000
|
Sponsor’s telephone number |
2177322161
|
Plan sponsor’s mailing address |
200 STAHLHUT DR, LINCOLN, IL, 62656
|
Plan sponsor’s
address |
200 STAHLHUT DR, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
370723793 |
Plan administrator’s name |
ABRAHAM LINCOLN MEMORIAL HOSPITAL |
Plan administrator’s
address |
200 STAHLHUT DR, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177322161 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-11 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2010
|
370723793
|
2012-12-18
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2177325046
|
Plan sponsor’s
address |
315 8TH STREET, LINCOLN, IL, 626562698
|
Plan administrator’s name and address
Administrator’s EIN |
370723793 |
Plan administrator’s name |
ABRAHAM LINCOLN MEMORIAL HOSPITAL |
Plan administrator’s
address |
315 8TH STREET, LINCOLN, IL, 626562698 |
Administrator’s telephone number |
2177325046 |
Signature of
Role |
Plan administrator |
Date |
2012-12-18 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-12-18 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIXED TAX DEFERRED ANNUITY PLAN - VOLUNTARY
|
2009
|
370723793
|
2011-01-14
|
ABRAHAM LINCOLN MEMORIAL HOSPITAL
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-01-01
|
Business code |
622000
|
Sponsor’s telephone number |
2177322161
|
Plan sponsor’s
address |
315 8TH STREET, LINCOLN, IL, 626562698
|
Plan administrator’s name and address
Administrator’s EIN |
370723793 |
Plan administrator’s name |
ABRAHAM LINCOLN MEMORIAL HOSPITAL |
Plan administrator’s
address |
315 8TH STREET, LINCOLN, IL, 626562698 |
Administrator’s telephone number |
2177322161 |
Signature of
Role |
Plan administrator |
Date |
2011-01-14 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-14 |
Name of individual signing |
DOLAN DALPOAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|