CHARLES INDUSTRIES, LTD EMPLOYEE HEALTH BENEFIT PLAN
|
2021
|
362660367
|
2023-09-27
|
CHARLES INDUSTRIES LTD
|
372
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
335900
|
Sponsor’s telephone number |
8472588507
|
Plan sponsor’s mailing address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Plan sponsor’s
address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Number of participants as of the end of the plan year
Active participants |
416 |
Retired or separated participants receiving
benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-09-27 |
Name of individual signing |
AARON MCDOWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2019
|
362660367
|
2020-05-15
|
CHARLES INDUSTRIES, LTD.
|
372
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8478066300
|
Plan sponsor’s mailing address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Plan sponsor’s
address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Number of participants as of the end of the plan year
Active participants |
356 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2020-05-15 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-15 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2018
|
362660367
|
2019-04-18
|
CHARLES INDUSTRIES, LTD.
|
374
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8478066300
|
Plan sponsor’s mailing address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Plan sponsor’s
address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Number of participants as of the end of the plan year
Active participants |
368 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2019-04-18 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-18 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2017
|
362660367
|
2018-07-06
|
CHARLES INDUSTRIES, LTD.
|
390
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8478066300
|
Plan sponsor’s mailing address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Plan sponsor’s
address |
1450 AMERICAN LN FL 20, SCHAUMBURG, IL, 601736090
|
Number of participants as of the end of the plan year
Active participants |
394 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2018-07-06 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-06 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2016
|
362660367
|
2017-06-15
|
CHARLES INDUSTRIES, LTD.
|
380
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan sponsor’s mailing address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 600084019
|
Plan sponsor’s
address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 600084019
|
Number of participants as of the end of the plan year
Active participants |
384 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-15 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2015
|
362660367
|
2016-08-23
|
CHARLES INDUSTRIES, LTD.
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan sponsor’s mailing address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 600084019
|
Plan sponsor’s
address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 600084019
|
Number of participants as of the end of the plan year
Active participants |
301 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-08-23 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-23 |
Name of individual signing |
SHANNON DOMINICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2014
|
362660367
|
2015-09-11
|
CHARLES INDUSTRIES, LTD.
|
275
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan
sponsor’s DBA name |
CHARLES INDUSTRIES, LTD.
|
Plan sponsor’s mailing address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 60008
|
Number of participants as of the end of the plan year
Active participants |
239 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
SHANNON HARPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
JENNIFER SINCLAIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2015-09-11 |
Name of individual signing |
JENNIFER SINCLAIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2013
|
362660367
|
2015-09-11
|
CHARLES INDUSTRIES, LTD.
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan
sponsor’s DBA name |
CHARLES INDUSTRIES, LTD.
|
Plan sponsor’s mailing address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5600 APOLLO DR, ROLLING MEADOWS, IL, 60008
|
Number of participants as of the end of the plan year
Active participants |
235 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
SHANNON HARPER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
JENNIFER SINCLAIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2015-09-11 |
Name of individual signing |
JENNIFER SINCLAIR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2012
|
362660367
|
2013-06-19
|
CHARLES INDUSTRIES, LTD.
|
272
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan
sponsor’s DBA name |
CHARLES INDUSTRIES, LTD.
|
Plan sponsor’s mailing address |
5600 APOLLO DR., ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5600 APOLLO DR., ROLLING MEADOWS, IL, 60008
|
Number of participants as of the end of the plan year
Active participants |
236 |
Retired or separated participants receiving
benefits |
4 |
Signature of
Role |
Plan administrator |
Date |
2013-06-06 |
Name of individual signing |
BARBARA EHLERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-14 |
Name of individual signing |
DONALD FLOWERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2013-06-14 |
Name of individual signing |
DONALD FLOWERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLES INDUSTRIES, LTD. EMPLOYEE HEALTH BENEFIT PLAN
|
2011
|
362660367
|
2012-07-03
|
CHARLES INDUSTRIES, LTD.
|
269
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-06-01
|
Business code |
334200
|
Sponsor’s telephone number |
8472588309
|
Plan
sponsor’s DBA name |
CHARLES INDUSTRIES, LTD.
|
Plan sponsor’s mailing address |
5600 APOLLO DR., ROLLING MEADOWS, IL, 60008
|
Plan sponsor’s
address |
5600 APOLLO DR., ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
362660367 |
Plan administrator’s name |
CHARLES INDUSTRIES, LTD. |
Plan administrator’s
address |
5600 APOLLO DR., ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8472588309 |
Number of participants as of the end of the plan year
Active participants |
269 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
BARBARA EHLERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-03 |
Name of individual signing |
DONALD FLOWERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|