PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. DEFINED BENEFIT PLAN
|
2012
|
370794792
|
2013-10-14
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
511
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-12-01
|
Business code |
813000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 616151621
|
Number of participants as of the end of the plan year
Active participants |
141 |
Retired or separated participants receiving
benefits |
47 |
Other
retired or separated participants entitled to future benefits |
186 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
9 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DISABILITY INCOME PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2012
|
370794792
|
2013-10-04
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1960-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Active participants |
169 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPECIFIC STOPLOSS HEALTH INSURANCE PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2012
|
370794792
|
2013-10-04
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Active participants |
124 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE PLAN NO 2 OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2012
|
370794792
|
2013-10-04
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC
|
131
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1990-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Active participants |
123 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2012
|
370794792
|
2013-10-04
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1960-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Active participants |
169 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SPECIFIC STOPLOSS HEALTH INSURANCE PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2011
|
370794792
|
2013-01-31
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1990-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-30 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2011
|
370794792
|
2013-01-31
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1960-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-29 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE PLAN NO 2 OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2011
|
370794792
|
2013-01-31
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1990-11-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-30 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP DISABILITY INCOME PLAN OF PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
2011
|
370794792
|
2013-01-31
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1960-01-01
|
Business code |
623000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 61612
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-01-30 |
Name of individual signing |
STUART SCHMITT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. DEFINED BENEFIT PLAN
|
2011
|
370794792
|
2012-10-15
|
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC.
|
515
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-12-01
|
Business code |
813000
|
Sponsor’s telephone number |
3096913800
|
Plan sponsor’s mailing address |
P.O. BOX 3418, PEORIA, IL, 616123418
|
Plan sponsor’s
address |
1913 WEST TOWNLINE ROAD, PEORIA, IL, 616151621
|
Plan administrator’s name and address
Administrator’s EIN |
370794792 |
Plan administrator’s name |
PEORIA ASSOCIATION FOR RETARDED CITIZENS, INC. |
Plan administrator’s
address |
P.O. BOX 3418, PEORIA, IL, 616123418 |
Administrator’s telephone number |
3096913800 |
Number of participants as of the end of the plan year
Active participants |
149 |
Retired or separated participants receiving
benefits |
39 |
Other
retired or separated participants entitled to future benefits |
307 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
16 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JULIA KIM CORNWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|