WELLS CENTER, INC
|
2013
|
237001686
|
2015-01-07
|
WELLS CENTER, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-08-01
|
Business code |
621330
|
Sponsor’s telephone number |
2172431871
|
Plan sponsor’s mailing address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan sponsor’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Number of participants as of the end of the plan year
Active participants |
56 |
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 |
2015-01-07 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-01-07 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELLS CENTER,INC
|
2012
|
237001686
|
2013-12-10
|
WELLS CENTER, INC
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-08-01
|
Business code |
621330
|
Sponsor’s telephone number |
2172431871
|
Plan sponsor’s mailing address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan sponsor’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Number of participants as of the end of the plan year
Active participants |
51 |
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 |
2013-12-10 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-10 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELLS CENTER, INC
|
2011
|
237001686
|
2013-01-24
|
WELLS CENTER, INC
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2011-08-01
|
Business code |
621330
|
Sponsor’s telephone number |
2172431871
|
Plan sponsor’s mailing address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan sponsor’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan administrator’s name and address
Administrator’s EIN |
237001686 |
Plan administrator’s name |
WELLS CENTER, INC |
Plan administrator’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650 |
Administrator’s telephone number |
2172431871 |
Number of participants as of the end of the plan year
Active participants |
48 |
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 |
2013-01-24 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-01-24 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE WELLS CENTER'S SELF-FUNDED DENTAL PLAN
|
2010
|
237001686
|
2012-01-27
|
WELLS CENTER, INC
|
112
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-07-01
|
Business code |
621330
|
Sponsor’s telephone number |
2172431871
|
Plan
sponsor’s DBA name |
WELLS CENTER
|
Plan sponsor’s mailing address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan sponsor’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan administrator’s name and address
Administrator’s EIN |
237001686 |
Plan administrator’s name |
WELLS CENTER, INC |
Plan administrator’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650 |
Administrator’s telephone number |
2172431871 |
Number of participants as of the end of the plan year
Active participants |
112 |
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 |
2012-01-27 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE WELLS CENTER'S SELF-FUNDED DENTAL PLAN
|
2010
|
237001686
|
2012-01-28
|
WELLS CENTER, INC
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-07-01
|
Business code |
621330
|
Sponsor’s telephone number |
2172431871
|
Plan
sponsor’s DBA name |
WELLS CENTER
|
Plan sponsor’s mailing address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan sponsor’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650
|
Plan administrator’s name and address
Administrator’s EIN |
237001686 |
Plan administrator’s name |
WELLS CENTER, INC |
Plan administrator’s
address |
1300 LINCOLN AVENUE, JACKSONVILLE, IL, 62650 |
Administrator’s telephone number |
2172431871 |
Number of participants as of the end of the plan year
Active participants |
112 |
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 |
2012-01-28 |
Name of individual signing |
BRUCE CARTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|