BLUE CAP 401(K) PLAN
|
2017
|
362603932
|
2018-06-01
|
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2015-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083896578
|
Plan sponsor’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Signature of
Role |
Plan administrator |
Date |
2018-06-01 |
Name of individual signing |
MATTHEW VITALIANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CAP 401(K) PLAN
|
2016
|
362603932
|
2017-03-08
|
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC.
|
106
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2015-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083896578
|
Plan sponsor’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Signature of
Role |
Plan administrator |
Date |
2017-03-08 |
Name of individual signing |
MATTHEW VITALIANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CAP 401(K) PLAN
|
2015
|
362603932
|
2016-03-01
|
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES, INC.
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
2015-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083896578
|
Plan sponsor’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Signature of
Role |
Plan administrator |
Date |
2016-03-01 |
Name of individual signing |
MATTHEW VITALIANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF BLUE ISLAND CITIZENS FRO PERSONS WITH DEVELOPMENTAL DISABILITIES D.B.A. BLUE CAP PENSION PLAN
|
2010
|
362603932
|
2011-10-18
|
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES INC
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-06-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083896578
|
Plan
sponsor’s DBA name |
BLUE CAP
|
Plan sponsor’s mailing address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Plan sponsor’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362603932 |
Plan administrator’s name |
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES INC |
Plan administrator’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083896578 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
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 |
2011-10-18 |
Name of individual signing |
ANTHONY DIVITTORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-17 |
Name of individual signing |
MATTHEW VITALIANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE ISLAND CITIZENS FOR THE MENTALLY RETARDED INC.
|
2009
|
362603932
|
2010-10-13
|
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-12-01
|
Business code |
611000
|
Sponsor’s telephone number |
7083896578
|
Plan
sponsor’s DBA name |
BLUE CAP
|
Plan sponsor’s mailing address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Plan sponsor’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406
|
Plan administrator’s name and address
Administrator’s EIN |
362603932 |
Plan administrator’s name |
BLUE ISLAND CITIZENS FOR PERSONS WITH DEVELOPMENTAL DISABILITIES INC |
Plan administrator’s
address |
2155 BROADWAY, BLUE ISLAND, IL, 60406 |
Administrator’s telephone number |
7083896578 |
Number of participants as of the end of the plan year
Active participants |
29 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
7 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
37 |
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 |
2010-10-13 |
Name of individual signing |
ANTHONY DIVITTORIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
MATTHEW VITALIANO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|