BEN TIRE DISTRIBUTORS, LTD WELFARE BENEFIT PLAN
|
2013
|
370912960
|
2014-09-10
|
BEN TIRE DISTRIBUTORS, LTD
|
265
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
PO BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 E MADISON, TOLEDO, IL, 62468
|
Number of participants as of the end of the plan year
Active participants |
284 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-10 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD WELFARE BENEFIT PLAN
|
2012
|
370912960
|
2013-10-04
|
BEN TIRE DISTRIBUTORS, LTD
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
PO BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 E MADISON, TOLEDO, IL, 62468
|
Number of participants as of the end of the plan year
Active participants |
265 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-04 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-03 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD WELFARE BENEFIT PLAN
|
2011
|
370912960
|
2012-09-28
|
BEN TIRE DISTRIBUTORS, LTD
|
262
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
PO BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 E MADISON, TOLEDO, IL, 62468
|
Plan administrator’s name and address
Administrator’s EIN |
370912960 |
Plan administrator’s name |
BEN TIRE DISTRIBUTORS, LTD |
Plan administrator’s
address |
PO BOX 158, TOLEDO, IL, 62468 |
Administrator’s telephone number |
2178493331 |
Number of participants as of the end of the plan year
Active participants |
265 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-28 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD WELFARE BENEFIT PLAN
|
2010
|
370912960
|
2011-06-30
|
BEN TIRE DISTRIBUTORS, LTD
|
256
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
PO BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 E MADISON, TOLEDO, IL, 62468
|
Plan administrator’s name and address
Administrator’s EIN |
370912960 |
Plan administrator’s name |
BEN TIRE DISTRIBUTORS, LTD |
Plan administrator’s
address |
PO BOX 158, TOLEDO, IL, 62468 |
Administrator’s telephone number |
2178493331 |
Number of participants as of the end of the plan year
Active participants |
265 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD. WELFARE BENEFIT PLAN
|
2009
|
370912960
|
2010-07-01
|
BEN TIRE DISTRIBUTORS, LTD.
|
255
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
P.O. BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 EAST MADISON, TOLEDO, IL, 62468
|
Plan administrator’s name and address
Administrator’s EIN |
370912960 |
Plan administrator’s name |
BEN TIRE DISTRIBUTORS, LTD. |
Plan administrator’s
address |
P.O. BOX 158, TOLEDO, IL, 62468 |
Administrator’s telephone number |
2178493331 |
Number of participants as of the end of the plan year
Active participants |
258 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
APRIIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD. WELFARE BENEFIT PLAN
|
2009
|
370912960
|
2010-07-01
|
BEN TIRE DISTRIBUTORS, LTD.
|
255
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
P.O. BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 EAST MADISON, TOLEDO, IL, 62468
|
Plan administrator’s name and address
Administrator’s EIN |
370912960 |
Plan administrator’s name |
BEN TIRE DISTRIBUTORS, LTD. |
Plan administrator’s
address |
P.O. BOX 158, TOLEDO, IL, 62468 |
Administrator’s telephone number |
2178493331 |
Number of participants as of the end of the plan year
Active participants |
258 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEN TIRE DISTRIBUTORS, LTD. WELFARE BENEFIT PLAN
|
2009
|
370912960
|
2010-06-30
|
BEN TIRE DISTRIBUTORS, LTD.
|
255
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1992-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
2178493331
|
Plan sponsor’s mailing address |
P.O. BOX 158, TOLEDO, IL, 62468
|
Plan sponsor’s
address |
203 EAST MADISON, TOLEDO, IL, 62468
|
Plan administrator’s name and address
Administrator’s EIN |
370912960 |
Plan administrator’s name |
BEN TIRE DISTRIBUTORS, LTD. |
Plan administrator’s
address |
P.O. BOX 158, TOLEDO, IL, 62468 |
Administrator’s telephone number |
2178493331 |
Number of participants as of the end of the plan year
Active participants |
258 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
APRIL NANCE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|