HAGERTY BROTHERS COMPANY RETIREMENT PLAN
|
2018
|
370308740
|
2019-07-31
|
HAGERTY BROTHERS COMPANY
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-01-01
|
Business code |
444130
|
Sponsor’s telephone number |
3095890239
|
Plan
sponsor’s DBA name |
HAGERTY INDUSTRIAL SUPPLY
|
Plan sponsor’s
address |
P.O. BOX 1500, PEORIA, IL, 616551500
|
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY RETIREMENT PLAN
|
2012
|
370308740
|
2013-10-08
|
HAGERTY BROTHERS COMPANY
|
71
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1967-01-06
|
Business code |
423990
|
Sponsor’s telephone number |
3095890239
|
Plan sponsor’s
address |
P.O. BOX 1500, PEORIA, IL, 616551500
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615 |
Administrator’s telephone number |
3095890200 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
PAUL GREINER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY RETIREMENT PLAN
|
2011
|
370308740
|
2012-10-15
|
HAGERTY BROTHERS COMPANY
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1967-01-06
|
Business code |
423990
|
Sponsor’s telephone number |
3095890239
|
Plan sponsor’s
address |
P.O. BOX 1500, PEORIA, IL, 616551500
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615 |
Administrator’s telephone number |
3095890200 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY GROUP MEDICAL INSURANCE
|
2009
|
370308740
|
2010-07-30
|
HAGERTY BROTHERS COMPANY
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1989-05-01
|
Business code |
423990
|
Sponsor’s telephone number |
3095890200
|
Plan sponsor’s mailing address |
PO BOX 1500, PEORIA, IL, 61655
|
Plan sponsor’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
PO BOX 1500, PEORIA, IL, 61655 |
Administrator’s telephone number |
3095890200 |
Number of participants as of the end of the plan year
Active participants |
64 |
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 |
2010-07-30 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY RETIREMENT PLAN
|
2009
|
370308740
|
2010-07-30
|
HAGERTY BROTHERS COMPANY
|
111
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1967-01-06
|
Business code |
423990
|
Sponsor’s telephone number |
3095890200
|
Plan sponsor’s mailing address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615
|
Plan sponsor’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615 |
Administrator’s telephone number |
3095890200 |
Number of participants as of the end of the plan year
Active participants |
47 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
30 |
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 |
77 |
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 |
2010-07-30 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY GROUP LONG TERM DISABILITY INCOME POLICY
|
2009
|
370308740
|
2010-07-30
|
HAGERTY BROTHERS COMPANY
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1987-08-01
|
Business code |
423990
|
Sponsor’s telephone number |
3095890200
|
Plan sponsor’s mailing address |
PO BOX 1500, PEORIA, IL, 61655
|
Plan sponsor’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
PO BOX 1500, PEORIA, IL, 61655 |
Administrator’s telephone number |
3095890200 |
Number of participants as of the end of the plan year
Active participants |
52 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HAGERTY BROTHERS COMPANY GROUP LIFE INSURANCE POLICY
|
2009
|
370308740
|
2010-07-30
|
HAGERTY BROTHERS COMPANY
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1987-01-01
|
Business code |
423990
|
Sponsor’s telephone number |
3095890200
|
Plan sponsor’s mailing address |
PO BOX 1500, PEORIA, IL, 61655
|
Plan sponsor’s
address |
1506 W. DETWEILLER DRIVE, PEORIA, IL, 61615
|
Plan administrator’s name and address
Administrator’s EIN |
370308740 |
Plan administrator’s name |
HAGERTY BROTHERS COMPANY |
Plan administrator’s
address |
PO BOX 1500, PEORIA, IL, 61655 |
Administrator’s telephone number |
3095890200 |
Number of participants as of the end of the plan year
Active participants |
52 |
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 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
RANDY FELLERHOFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|