LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC.
|
2018
|
371030764
|
2019-10-15
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Plan sponsor’s
address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-15 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC.
|
2017
|
371030764
|
2018-10-15
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
137
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Plan sponsor’s
address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-15 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC.
|
2016
|
371030764
|
2017-11-06
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Plan sponsor’s
address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-11-06 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-06 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC
|
2015
|
371030764
|
2017-01-23
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Plan sponsor’s
address |
303 N MAIN ST STE 600, ROCKFORD, IL, 611011050
|
Number of participants as of the end of the plan year
Active participants |
108 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-01-23 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-23 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC
|
2014
|
371030764
|
2016-09-12
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 NORTH MAIN STREET STE 600, ROCKFORD, IL, 61101
|
Plan sponsor’s
address |
303 NORTH MAIN STREET STE 600, ROCKFORD, IL, 61101
|
Number of participants as of the end of the plan year
Active participants |
116 |
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 |
2016-09-12 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-12 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE AND DISABILITY BENEFIT PLAN FOR PRAIRIE STATE LEGAL SERVICES, INC
|
2013
|
371030764
|
2016-09-12
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
112
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1977-10-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s mailing address |
303 NORTH MAIN STREET STE 600, ROCKFORD, IL, 61101
|
Plan sponsor’s
address |
303 NORTH MAIN STREET STE 600, ROCKFORD, IL, 61101
|
Number of participants as of the end of the plan year
Active participants |
121 |
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 |
2016-09-12 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-12 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PRAIRIE STATE LEGAL SERVICES, INC. PROFIT SHARING PLAN
|
2009
|
371030764
|
2010-06-22
|
PRAIRIE STATE LEGAL SERVICES, INC.
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
8159652134
|
Plan sponsor’s
address |
303 NORTH MAIN STREET, SUITE 600, ROCKFORD, IL, 61101
|
Plan administrator’s name and address
Administrator’s EIN |
371030764 |
Plan administrator’s name |
PRAIRIE STATE LEGAL SERVICES, INC. |
Plan administrator’s
address |
303 NORTH MAIN STREET, SUITE 600, ROCKFORD, IL, 61101 |
Administrator’s telephone number |
8159652134 |
Signature of
Role |
Plan administrator |
Date |
2010-06-22 |
Name of individual signing |
JAMES CHANCELLOR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|