BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2017
|
362549132
|
2018-02-02
|
KRAHENBUHL CHRYSLER JEEP INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8157624252
|
Plan sponsor’s mailing address |
PO BOX 224, 1380 N 7TH ST, ROCHELLE, IL, 610682300
|
Plan sponsor’s
address |
PO BOX 224, 1380 N 7TH ST, ROCHELLE, IL, 610682300
|
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 |
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 |
0 |
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 |
2018-02-02 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2016
|
362549132
|
2017-06-21
|
KRAHENBUHL CHRYSLER JEEP INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2016-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8157624252
|
Plan sponsor’s mailing address |
PO BOX 224, ROCHELLE, IL, 610680224
|
Plan sponsor’s
address |
1380 N. 7TH ST, ROCHELLE, IL, 61068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-21 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KRAHENBUHL CHRYSLER JEEP INC., 401K PLAN
|
2016
|
362549132
|
2017-09-07
|
KRAHENBUHL CHRYSLER JEEP INC.,
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8157624252
|
Plan sponsor’s
address |
1380 NORTH 7TH ST, ROCHELLE, IL, 61608
|
Signature of
Role |
Plan administrator |
Date |
2017-09-07 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-07 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KRAHENBUHL CHRYSLER JEEP INC., 401K PLAN
|
2016
|
362549132
|
2017-06-21
|
KRAHENBUHL CHRYSLER JEEP INC.,
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8157624252
|
Plan sponsor’s
address |
1380 NORTH 7TH ST, ROCHELLE, IL, 61608
|
Signature of
Role |
Plan administrator |
Date |
2017-06-21 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2015
|
362549132
|
2016-02-10
|
KRAHENBUHL CHRYSLER JEEP INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8155627066
|
Plan sponsor’s mailing address |
1380 N 7TH ST, ROCHELLE, IL, 610682300
|
Plan sponsor’s
address |
1380 N 7TH ST, ROCHELLE, IL, 610682300
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-02-10 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-10 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KRAHENBUHL CHRYSLER JEEP INC., 401K PLAN
|
2015
|
362549132
|
2016-06-03
|
KRAHENBUHL CHRYSLER JEEP INC.,
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2015-01-01
|
Business code |
441110
|
Plan sponsor’s
address |
1380 NORTH 7TH ST, ROCHELLE, IL, 61608
|
Signature of
Role |
Plan administrator |
Date |
2016-06-03 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2014
|
362549132
|
2015-07-10
|
KRAHENBUHL CHRYSLER JEEP INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2014-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8155627066
|
Plan sponsor’s mailing address |
1380 N 7TH ST, ROCHELLE, IL, 61068
|
Plan sponsor’s
address |
1380 N 7TH ST, ROCHELLE, IL, 61068
|
Plan administrator’s name and address
Administrator’s EIN |
362549132 |
Plan administrator’s name |
KRAHENBUHL CHRYSLER JEEP INC |
Plan administrator’s
address |
1380 N 7TH ST, ROCHELLE, IL, 61068 |
Administrator’s telephone number |
8155627066 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-10 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KRAHENBUHL CHRYSLER JEEP, INC. PENSION PLAN
|
2014
|
362549132
|
2015-11-19
|
KRAHENBUHL CHRYSLER JEEP, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
441110
|
Sponsor’s telephone number |
8155627066
|
Plan sponsor’s
address |
1380 N 7TH ST., ROCHELLE, IL, 610682300
|
Plan administrator’s name and address
Administrator’s EIN |
311255362 |
Plan administrator’s name |
NADA RETIREMENT ADMINISTRATORS INC DBA NADART |
Plan administrator’s
address |
8400 WESTPARK DRIVE, MCLEAN, VA, 22102 |
Administrator’s telephone number |
8004623278 |
Signature of
Role |
Plan administrator |
Date |
2015-11-19 |
Name of individual signing |
ALAN B SVEDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KRAHENBUHL CHRYSLER JEEP, INC. PENSION PLAN
|
2014
|
362549132
|
2015-06-26
|
KRAHENBUHL CHRYSLER JEEP, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-07-01
|
Business code |
441110
|
Sponsor’s telephone number |
8155627066
|
Plan sponsor’s
address |
1380 N 7TH ST., ROCHELLE, IL, 610682300
|
Plan administrator’s name and address
Administrator’s EIN |
311255362 |
Plan administrator’s name |
NADA RETIREMENT ADMINISTRATORS INC. DBA NADART |
Plan administrator’s
address |
8400 WESTPARK DRIVE, MCLEAN, VA, 22102 |
Administrator’s telephone number |
8004623278 |
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
ALAN B SVEDLOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUE CROSS BLUE SHIELD OF ILLINOIS
|
2013
|
362549132
|
2014-06-24
|
KRAHENBUHL CHRYSLER JEEP INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2013-01-01
|
Business code |
441110
|
Sponsor’s telephone number |
8155627066
|
Plan sponsor’s mailing address |
1380 N 7TH STREET, ROCHELLE, IL, 61068
|
Plan sponsor’s
address |
1380 N 7TH STREET, ROCHELLE, IL, 61068
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-24 |
Name of individual signing |
LYNN VANVICKLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|