ENGIS CORPORATION MEDICAL INSURANCE PLAN
|
2016
|
361822985
|
2017-10-13
|
ENGIS CORPORATION
|
162
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1954-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Plan sponsor’s
address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
27 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION EMPLOYEES LIFE INSURANCE PLAN
|
2016
|
361822985
|
2017-10-13
|
ENGIS CORPORATION
|
162
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Plan sponsor’s
address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
27 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-13 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION EMPLOYEES LIFE INSURANCE PLAN
|
2015
|
361822985
|
2016-08-01
|
ENGIS CORPORATION
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Plan sponsor’s
address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
26 |
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION MEDICAL INSURANCE PLAN
|
2015
|
361822985
|
2016-08-01
|
ENGIS CORPORATION
|
155
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1954-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Plan sponsor’s
address |
105 W HINTZ RD, WHEELING, IL, 600906038
|
Number of participants as of the end of the plan year
Active participants |
162 |
Retired or separated participants receiving
benefits |
25 |
Signature of
Role |
Plan administrator |
Date |
2016-08-01 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-01 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION MEDICAL INSURANCE PLAN
|
2014
|
361822985
|
2015-07-31
|
ENGIS CORPORATION
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
22 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION EMPLOYEES LIFE INSURANCE PLAN
|
2014
|
361822985
|
2015-07-31
|
ENGIS CORPORATION
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Number of participants as of the end of the plan year
Active participants |
155 |
Retired or separated participants receiving
benefits |
26 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION EMPLOYEES LIFE INSURANCE PLAN
|
2013
|
361822985
|
2014-07-31
|
ENGIS CORPORATION
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Number of participants as of the end of the plan year
Active participants |
149 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION MEDICAL INSURANCE PLAN
|
2013
|
361822985
|
2014-07-31
|
ENGIS CORPORATION
|
147
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1954-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Number of participants as of the end of the plan year
Active participants |
149 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION EMPLOYEES LIFE INSURANCE PLAN
|
2012
|
361822985
|
2013-07-31
|
ENGIS CORPORATION
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1956-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
361822985 |
Plan administrator’s name |
ENGIS CORPORATION |
Plan administrator’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090 |
Administrator’s telephone number |
8478089400 |
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ENGIS CORPORATION MEDICAL INSURANCE PLAN
|
2012
|
361822985
|
2013-07-31
|
ENGIS CORPORATION
|
162
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1954-04-01
|
Business code |
339900
|
Sponsor’s telephone number |
8478089400
|
Plan sponsor’s mailing address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan sponsor’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090
|
Plan administrator’s name and address
Administrator’s EIN |
361822985 |
Plan administrator’s name |
ENGIS CORPORATION |
Plan administrator’s
address |
105 W. HINTZ ROAD, WHEELING, IL, 60090 |
Administrator’s telephone number |
8478089400 |
Number of participants as of the end of the plan year
Active participants |
146 |
Retired or separated participants receiving
benefits |
5 |
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
MARK GRAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|