COUNTRY/IAA EMPLOYEE ASSISTANCE AND WELFARE PLAN
|
2023
|
371000579
|
2024-07-05
|
CC SERVICES, INC.
|
3451
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2008-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
3582 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA SECTION 125 CAFETERIA PLAN
|
2023
|
371000579
|
2024-07-05
|
CC SERVICES, INC.
|
737
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1985-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
706 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA RETIREE MEDICAL BENEFIT PLAN
|
2023
|
371000579
|
2024-07-05
|
CC SERVICES, INC.
|
533
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2013-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
517 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FINANCIAL REPRESENTATIVE WELFARE BENEFIT PLAN
|
2023
|
371000579
|
2024-07-05
|
CC SERVICES, INC.
|
1158
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1994-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
956 |
Retired or separated participants receiving
benefits |
95 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA EMPLOYEE WELFARE BENEFIT PLAN
|
2023
|
371000579
|
2024-07-05
|
CC SERVICES, INC.
|
4239
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1981-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
3734 |
Retired or separated participants receiving
benefits |
688 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-07-05 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA EMPLOYEE WELFARE BENEFIT PLAN
|
2022
|
371000579
|
2023-06-26
|
CC SERVICES, INC.
|
3591
|
|
File |
View Page
|
Three-digit plan number (PN) |
510
|
Effective date of plan |
1981-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
3497 |
Retired or separated participants receiving
benefits |
13 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA RETIREE MEDICAL BENEFIT PLAN
|
2022
|
371000579
|
2023-06-26
|
CC SERVICES, INC.
|
541
|
|
File |
View Page
|
Three-digit plan number (PN) |
516
|
Effective date of plan |
2013-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
533 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY FINANCIAL REPRESENTATIVE WELFARE BENEFIT PLAN
|
2022
|
371000579
|
2023-06-26
|
CC SERVICES, INC.
|
1272
|
|
File |
View Page
|
Three-digit plan number (PN) |
511
|
Effective date of plan |
1994-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
1056 |
Retired or separated participants receiving
benefits |
23 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA EMPLOYEE ASSISTANCE AND WELFARE PLAN
|
2022
|
371000579
|
2023-06-26
|
CC SERVICES, INC.
|
4017
|
|
File |
View Page
|
Three-digit plan number (PN) |
512
|
Effective date of plan |
2008-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
3451 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRY/IAA SECTION 125 CAFETERIA PLAN
|
2022
|
371000579
|
2023-06-26
|
CC SERVICES, INC.
|
795
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
1985-01-01
|
Business code |
561490
|
Sponsor’s telephone number |
3098212075
|
Plan sponsor’s mailing address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Plan sponsor’s
address |
1701 TOWANDA AVE, BLOOMINGTON, IL, 617012057
|
Number of participants as of the end of the plan year
Active participants |
731 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-23 |
Name of individual signing |
RACHAEL SKLAMBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|