MINER ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE PLAN
|
2012
|
362694314
|
2013-05-28
|
MINER ENTERPRISES, INC
|
269
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2012-01-01
|
Business code |
336510
|
Plan sponsor’s mailing address |
1200 E STATE STREET, GENEVA, IL, 60134
|
Plan sponsor’s
address |
1200 E STATE STREET, GENEVA, IL, 60134
|
Number of participants as of the end of the plan year
Active participants |
269 |
Retired or separated participants receiving
benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINER ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE PLAN
|
2011
|
362694314
|
2012-07-23
|
MINER ENTERPRISES, INC.
|
254
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2011-01-01
|
Business code |
336510
|
Sponsor’s telephone number |
6302323000
|
Plan sponsor’s mailing address |
1200 E STATE ST, BOX 471, GENEVA, IL, 60134
|
Plan sponsor’s
address |
1200 E STATE ST, BOX 471, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362694314 |
Plan administrator’s name |
MINER ENTERPRISES, INC. |
Plan administrator’s
address |
1200 E STATE ST, BOX 471, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302323000 |
Number of participants as of the end of the plan year
Active participants |
253 |
Retired or separated participants receiving
benefits |
16 |
Signature of
Role |
Plan administrator |
Date |
2012-07-23 |
Name of individual signing |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINER ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE PLAN
|
2010
|
362694314
|
2011-07-13
|
MINER ENTERPRISES, INC.
|
254
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2010-01-01
|
Business code |
336510
|
Sponsor’s telephone number |
6302323000
|
Plan sponsor’s mailing address |
1200 E STATE ST., GENEVA, IL, 60134
|
Plan sponsor’s
address |
1200 E STATE ST., GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362694314 |
Plan administrator’s name |
MINER ENTERPRISES, INC. |
Plan administrator’s
address |
1200 E STATE ST., GENEVA, IL, 60134 |
Administrator’s telephone number |
6302323000 |
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
17 |
Signature of
Role |
Plan administrator |
Date |
2011-07-13 |
Name of individual signing |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINER ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE PLAN
|
2009
|
362694314
|
2010-07-30
|
MINER ENTERPRISES, INC.
|
279
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1992-04-01
|
Business code |
336510
|
Sponsor’s telephone number |
6302323000
|
Plan sponsor’s mailing address |
1200 E. STATE ST, GENEVA, IL, 60134
|
Plan sponsor’s
address |
1200 E. STATE ST, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362694314 |
Plan administrator’s name |
MINER ENTERPRISES, INC. |
Plan administrator’s
address |
1200 E. STATE ST, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302323000 |
Number of participants as of the end of the plan year
Active participants |
237 |
Retired or separated participants receiving
benefits |
17 |
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 |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MINER ENTERPRISES, INC. EMPLOYEE HEALTH AND WELFARE PLAN
|
2009
|
362694314
|
2010-07-30
|
MINER ENTERPRISES, INC.
|
279
|
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1992-04-01
|
Business code |
336510
|
Sponsor’s telephone number |
6302323000
|
Plan sponsor’s mailing address |
1200 E. STATE ST, GENEVA, IL, 60134
|
Plan sponsor’s
address |
1200 E. STATE ST, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362694314 |
Plan administrator’s name |
MINER ENTERPRISES, INC. |
Plan administrator’s
address |
1200 E. STATE ST, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302323000 |
Number of participants as of the end of the plan year
Active participants |
237 |
Retired or separated participants receiving
benefits |
17 |
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 |
Employer/plan sponsor |
Date |
2010-07-30 |
Name of individual signing |
JERRY PARISEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|