TRUCK CENTERS, INC. MEDICAL PLAN
|
2014
|
370922808
|
2015-10-09
|
TRUCK CENTERS, INC
|
278
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
441228
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD, TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD, TROY, IL, 62294
|
Number of participants as of the end of the plan year
Active participants |
360 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-09 |
Name of individual signing |
JENNIFER PRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK CENTERS, INC. MEDICAL PLAN
|
2013
|
370922808
|
2014-10-13
|
TRUCK CENTERS, INC.
|
276
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
441228
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD., TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD., TROY, IL, 62294
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-10-13 |
Name of individual signing |
JENNIFER PRICE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK CENTERS, INC. MEDICAL PLAN
|
2012
|
370922808
|
2013-10-03
|
TRUCK CENTERS, INC.
|
270
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
441229
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD, TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD, TROY, IL, 62294
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-03 |
Name of individual signing |
RONDA WESEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK CENTERS, INC. MEDICAL PLAN
|
2011
|
370922808
|
2012-09-17
|
TRUCK CENTERS, INC.
|
246
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
441229
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD., TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD., TROY, IL, 62294
|
Plan administrator’s name and address
Administrator’s EIN |
370922808 |
Plan administrator’s name |
TRUCK CENTERS, INC. |
Plan administrator’s
address |
2280 FORMOSA RD., TROY, IL, 62294 |
Administrator’s telephone number |
6186673454 |
Number of participants as of the end of the plan year
Active participants |
269 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2012-09-17 |
Name of individual signing |
RONDA WESEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK CENTERS, INC. MIDICAL PLAN
|
2010
|
370922808
|
2011-10-11
|
TRUCK CENTERS, INC.
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
441229
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD, TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD, TROY, IL, 62294
|
Plan administrator’s name and address
Administrator’s EIN |
370922808 |
Plan administrator’s name |
TRUCK CENTERS, INC. |
Plan administrator’s
address |
2280 FORMOSA RD, TROY, IL, 62294 |
Administrator’s telephone number |
6186673454 |
Number of participants as of the end of the plan year
Active participants |
245 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-07 |
Name of individual signing |
RONDA WESEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TRUCK CENTERS, INC. MEDICAL PLAN
|
2009
|
370922808
|
2010-09-21
|
TRUCK CENTERS, INC.
|
276
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Sponsor’s telephone number |
6186673454
|
Plan sponsor’s mailing address |
2280 FORMOSA RD., TROY, IL, 62294
|
Plan sponsor’s
address |
2280 FORMOSA RD., TROY, IL, 62294
|
Plan administrator’s name and address
Administrator’s EIN |
370922808 |
Plan administrator’s name |
TRUCK CENTERS, INC. |
Plan administrator’s
address |
2280 FORMOSA RD., TROY, IL, 62294 |
Administrator’s telephone number |
6186673454 |
Number of participants as of the end of the plan year
Active participants |
232 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2010-09-21 |
Name of individual signing |
RONDA WESEMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|