|
CARLE FOUNDATION LONG TERM DISABILITY INSURANCE
|
2010
|
371119538
|
2011-01-17
|
CARLE FOUNDATION HOSPITAL
|
2298
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
505
|
| Effective date of plan |
1993-12-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
2173833138
|
| Plan sponsor’s mailing address |
C/O LORI JONES, URBANA, IL, 61801
|
| Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
| Administrator’s EIN |
371119538 |
| Plan administrator’s name |
CARLE FOUNDATION HOSPITAL |
| Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
| Administrator’s telephone number |
2173833138 |
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 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-17 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-17 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLE FOUNDATION LONG TERM DISABILITY INSURANCE
|
2009
|
371119538
|
2010-07-27
|
CARLE FOUNDATION HOSPITAL
|
2077
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
505
|
| Effective date of plan |
1993-12-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
2173833138
|
| Plan sponsor’s mailing address |
C/O LORI JONES, URBANA, IL, 61801
|
| Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
| Administrator’s EIN |
371119538 |
| Plan administrator’s name |
CARLE FOUNDATION HOSPITAL |
| Plan administrator’s
address |
C/O LORI JONES, URBANA, IL, 61801 |
| Administrator’s telephone number |
2173833138 |
Number of participants as of the end of the plan year
| Active participants |
2298 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-27 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLE FOUNDATION HOSPITAL SICK PAY PLAN
|
2009
|
371119538
|
2011-01-14
|
CARLE FOUNDATION HOSPITAL
|
2067
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
508
|
| Effective date of plan |
1975-07-01
|
| Business code |
622000
|
| Sponsor’s telephone number |
2173833138
|
| Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
| Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
| Administrator’s EIN |
371119538 |
| Plan administrator’s name |
CARLE FOUNDATION HOSPITAL |
| Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
| Administrator’s telephone number |
2173833138 |
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 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-14 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-14 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CARLE FOUNDATION EMPLOYEES HEALTH INSURANCE PLAN
|
2009
|
371119538
|
2011-01-14
|
CARLE FOUNDATION HOSPITAL
|
2041
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
504
|
| Effective date of plan |
1979-05-10
|
| Business code |
622000
|
| Sponsor’s telephone number |
2173833138
|
| Plan sponsor’s mailing address |
611 WEST PARK STREET, URBANA, IL, 61801
|
| Plan sponsor’s
address |
611 WEST PARK STREET, URBANA, IL, 61801
|
Plan administrator’s name and address
| Administrator’s EIN |
371119538 |
| Plan administrator’s name |
CARLE FOUNDATION HOSPITAL |
| Plan administrator’s
address |
611 WEST PARK STREET, URBANA, IL, 61801 |
| Administrator’s telephone number |
2173833138 |
Number of participants as of the end of the plan year
| Active participants |
2255 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2011-01-14 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-01-14 |
| Name of individual signing |
CARLE FOUNDATION BY PHILIP L. KUBOW |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
