JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. 401(K) PLAN
|
2012
|
237254917
|
2013-07-25
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6182421511
|
Plan sponsor’s mailing address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan sponsor’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan administrator’s name and address
Administrator’s EIN |
237254917 |
Plan administrator’s name |
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. |
Plan administrator’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864 |
Administrator’s telephone number |
6182421511 |
Number of participants as of the end of the plan year
Active participants |
55 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
51 |
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 |
97 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
6 |
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
DEBRA HOLSAPPLE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. 401(K) PLAN
|
2011
|
237254917
|
2012-10-04
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC.
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6182421511
|
Plan sponsor’s mailing address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan sponsor’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan administrator’s name and address
Administrator’s EIN |
237254917 |
Plan administrator’s name |
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. |
Plan administrator’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864 |
Administrator’s telephone number |
6182421511 |
Number of participants as of the end of the plan year
Active participants |
65 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
39 |
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 |
96 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
7 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
DANIEL BOEHMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. 401(K) PLAN
|
2010
|
237254917
|
2011-07-30
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC.
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6182421511
|
Plan sponsor’s mailing address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan sponsor’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan administrator’s name and address
Administrator’s EIN |
237254917 |
Plan administrator’s name |
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. |
Plan administrator’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864 |
Administrator’s telephone number |
6182421511 |
Number of participants as of the end of the plan year
Active participants |
78 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
31 |
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 |
104 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
DANIEL BOEHMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. 401(K) PLAN
|
2009
|
237254917
|
2010-09-29
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6182421511
|
Plan sponsor’s mailing address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan sponsor’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan administrator’s name and address
Administrator’s EIN |
237254917 |
Plan administrator’s name |
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. |
Plan administrator’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864 |
Administrator’s telephone number |
6182421511 |
Number of participants as of the end of the plan year
Active participants |
81 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
28 |
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 |
98 |
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 |
2010-09-29 |
Name of individual signing |
DANIEL BOEHMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. 401(K) PLAN
|
2009
|
237254917
|
2010-08-03
|
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC.
|
105
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6182421511
|
Plan sponsor’s mailing address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan sponsor’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864
|
Plan administrator’s name and address
Administrator’s EIN |
237254917 |
Plan administrator’s name |
JEFFERSON COUNTY COMPREHENSIVE SERVICES, INC. |
Plan administrator’s
address |
16338 N. IL HWY 37, MOUNT VERNON, IL, 62864 |
Administrator’s telephone number |
6182421511 |
Number of participants as of the end of the plan year
Active participants |
81 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
28 |
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 |
98 |
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 |
2010-08-03 |
Name of individual signing |
DANIEL BOEHMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|