LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. VOLUNTAR DENTAL & LONG TERM DISABILITY
|
2010
|
363050177
|
2011-07-27
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8156257713
|
Plan sponsor’s mailing address |
403 EAST THIRD ST, STERLING, IL, 61081
|
Plan sponsor’s
address |
403 EAST THIRD ST, STERLING, IL, 61081
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD |
Plan administrator’s
address |
403 EAST THIRD ST, STERLING, IL, 61081 |
Administrator’s telephone number |
8156257713 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-27 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD HEALTH INSURANCE PLAN
|
2010
|
363050177
|
2011-07-22
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8156261277
|
Plan sponsor’s mailing address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan sponsor’s
address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD |
Plan administrator’s
address |
403 EAST THIRD, STERLING, IL, 61081 |
Administrator’s telephone number |
8156261277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. PROFIT SHARING PLAN
|
2009
|
363050177
|
2011-07-14
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD.
|
164
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8154845670
|
Plan sponsor’s mailing address |
4949 HARRISON AVENUE, SUITE 300, P.O. BOX 5407, ROCKFORD, IL, 611250407
|
Plan sponsor’s
address |
LINDGREN, CALLIHAN, VANOSDOL AND CO, 4949 HARRISON AVE SUITE 300, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. |
Plan administrator’s
address |
4949 HARRISON AVENUE, SUITE 300, P.O. BOX 5407, ROCKFORD, IL, 611250407 |
Administrator’s telephone number |
8154845670 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
2011-07-14 |
Name of individual signing |
GREGORY DUNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. PROFIT SHARING PLAN
|
2009
|
363050177
|
2011-07-14
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD.
|
164
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8154845670
|
Plan sponsor’s mailing address |
4949 HARRISON AVENUE, SUITE 300, P.O. BOX 5407, ROCKFORD, IL, 611250407
|
Plan sponsor’s
address |
LINDGREN, CALLIHAN, VANOSDOL AND CO, 4949 HARRISON AVE SUITE 300, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. |
Plan administrator’s
address |
4949 HARRISON AVENUE, SUITE 300, P.O. BOX 5407, ROCKFORD, IL, 611250407 |
Administrator’s telephone number |
8154845670 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
Employer/plan sponsor |
Date |
2011-07-14 |
Name of individual signing |
GREGORY DUNHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD. VOLUNTAR DENTAL & LONG TERM DISABILITY
|
2009
|
363050177
|
2011-04-29
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD
|
122
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2005-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8154845680
|
Plan sponsor’s mailing address |
403 EAST THIRD ST, STERLING, IL, 61081
|
Plan sponsor’s
address |
403 EAST THIRD ST, STERLING, IL, 61081
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD |
Plan administrator’s
address |
403 EAST THIRD ST, STERLING, IL, 61081 |
Administrator’s telephone number |
8154845680 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-04-29 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-29 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD HEALTH INSURANCE PLAN
|
2009
|
363050177
|
2010-07-26
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD
|
200
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8156261277
|
Plan sponsor’s mailing address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan sponsor’s
address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD |
Plan administrator’s
address |
403 EAST THIRD, STERLING, IL, 61081 |
Administrator’s telephone number |
8156261277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD HEALTH INSURANCE PLAN
|
2009
|
363050177
|
2010-07-25
|
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD
|
200
|
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2006-10-01
|
Business code |
541211
|
Sponsor’s telephone number |
8156261277
|
Plan sponsor’s mailing address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan sponsor’s
address |
403 EAST THIRD, STERLING, IL, 61081
|
Plan administrator’s name and address
Administrator’s EIN |
363050177 |
Plan administrator’s name |
LINDGREN, CALLIHAN, VAN OSDOL & CO., LTD |
Plan administrator’s
address |
403 EAST THIRD, STERLING, IL, 61081 |
Administrator’s telephone number |
8156261277 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
DAVID W PACZAK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|