BLOSSOM FINANCIAL SERVICES, INC. 401(K) PLAN
|
2023
|
370899315
|
2024-07-17
|
BLOSSOM FINANCIAL SERVICES, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096968591
|
Plan sponsor’s
address |
125 SW JEFFERSON AVE. STE. 224W, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2024-07-17 |
Name of individual signing |
LINDA B BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-17 |
Name of individual signing |
LINDA B BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOSSOM FINANCIAL SERVICES, INC. 401(K) PLAN
|
2023
|
370899315
|
2024-08-06
|
BLOSSOM FINANCIAL SERVICES, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096968591
|
Plan sponsor’s
address |
125 SW JEFFERSON AVE. STE. 224W, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2024-08-06 |
Name of individual signing |
LINDA B BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOSSOM FINANCIAL SERVICES, INC. 401(K) PLAN
|
2022
|
370899315
|
2023-06-05
|
BLOSSOM FINANCIAL SERVICES, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096968591
|
Plan sponsor’s
address |
125 SW JEFFERSON AVE. STE. 224W, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2023-06-05 |
Name of individual signing |
LINDA B BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOSSOM FINANCIAL SERVICES, INC. 401(K) PLAN
|
2021
|
370899315
|
2022-07-07
|
BLOSSOM FINANCIAL SERVICES, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s
address |
456 FULTON STREET SUITE 345, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
LINDA B BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLOSSOM FINANCIAL SERVICES, INC. 401(K) PLAN
|
2020
|
370899315
|
2021-08-31
|
BLOSSOM FINANCIAL SERVICES, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s
address |
456 FULTON STREET SUITE 345, PEORIA, IL, 61602
|
Signature of
Role |
Plan administrator |
Date |
2021-08-31 |
Name of individual signing |
LINDA B. BLOSSOM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE BENEFIT GROUP OF ILLINOIS EMPLOYEES STOCK OWNERSHIP PLAN
|
2020
|
370899315
|
2021-02-16
|
BLOSSOM FINANCIAL SERVICES, INC.
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s mailing address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan sponsor’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
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 |
|
ALLIANCE BENEFIT GROUP OF ILLINOIS RETIREMENT SAVINGS PLAN
|
2019
|
370899315
|
2020-07-21
|
ALLIANCE BENEFIT GROUP OF ILLINOIS
|
107
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370899315 |
Plan administrator’s name |
ALLIANCE BENEFIT GROUP OF ILLINOIS |
Plan administrator’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096714200 |
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
TERESA D. WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE BENEFIT GROUP OF ILLINOIS RETIREMENT SAVINGS PLAN
|
2018
|
370899315
|
2019-07-22
|
ALLIANCE BENEFIT GROUP OF ILLINOIS
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370899315 |
Plan administrator’s name |
ALLIANCE BENEFIT GROUP OF ILLINOIS |
Plan administrator’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096714200 |
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
DAPHNE M. WEITZEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE BENEFIT GROUP OF ILLINOIS RETIREMENT SAVINGS PLAN
|
2017
|
370899315
|
2018-10-12
|
ALLIANCE BENEFIT GROUP OF ILLINOIS
|
110
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-12-22
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370899315 |
Plan administrator’s name |
ALLIANCE BENEFIT GROUP OF ILLINOIS |
Plan administrator’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096714200 |
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
DAPHNE M. WEITZEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ALLIANCE BENEFIT GROUP OF ILLINOIS EMPLOYEES STOCK OWNERSHIP PLAN
|
2011
|
370899315
|
2013-10-15
|
ALLIANCE BENEFIT GROUP OF ILLINOIS
|
75
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1980-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3096714200
|
Plan sponsor’s mailing address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan sponsor’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602
|
Plan administrator’s name and address
Administrator’s EIN |
370899315 |
Plan administrator’s name |
ALLIANCE BENEFIT GROUP OF ILLINOIS |
Plan administrator’s
address |
456 FULTON STREET, SUITE 345, PEORIA, IL, 61602 |
Administrator’s telephone number |
3096714200 |
Number of participants as of the end of the plan year
Active participants |
70 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
13 |
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 |
60 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
TERESA D. WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-14 |
Name of individual signing |
DAPHNE M. WEITZEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|