GROUP LONG TERM DISABILITY INSURANCE
|
2016
|
362419809
|
2017-07-27
|
WEILER ENGINEERING, INC.
|
88
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-27 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-27 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
|
2016
|
362419809
|
2017-07-28
|
WEILER ENGINEERING, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE
|
2016
|
362419809
|
2017-07-28
|
WEILER ENGINEERING, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE
|
2016
|
362419809
|
2017-07-28
|
WEILER ENGINEERING, INC.
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEILER ENGINEERING, INC. HEALTH CARE PLAN
|
2015
|
362419809
|
2017-07-05
|
WEILER ENGINEERING, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-05 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LIFE INSURANCE
|
2015
|
362419809
|
2016-07-15
|
WEILER ENGINEERING, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE
|
2015
|
362419809
|
2016-07-15
|
WEILER ENGINEERING, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE
|
2015
|
362419809
|
2016-07-15
|
WEILER ENGINEERING, INC.
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Plan sponsor’s
address |
1395 GATEWAY DR, ELGIN, IL, 601247866
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEILER ENGINEERING, INC. HEALTH CARE PLAN
|
2014
|
362419809
|
2016-07-15
|
WEILER ENGINEERING, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1995-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DRIVE, ELGIN, IL, 60124
|
Plan sponsor’s
address |
1395 GATEWAY DRIVE, ELGIN, IL, 60124
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-15 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP LONG TERM DISABILITY INSURANCE
|
2014
|
362419809
|
2015-06-26
|
WEILER ENGINEERING, INC.
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2001-01-01
|
Business code |
333200
|
Sponsor’s telephone number |
8476974900
|
Plan sponsor’s mailing address |
1395 GATEWAY DRIVE, ELGIN, IL, 60124
|
Plan sponsor’s
address |
1395 GATEWAY DRIVE, ELGIN, IL, 60124
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
MARY BROOKING |
Valid signature |
Filed with authorized/valid electronic signature |
|
|