EMPLOYEE BENEFIT PLAN OF BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
2012
|
371095468
|
2013-06-12
|
BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6183983162
|
Plan sponsor’s
address |
6400 W MAIN ST STE 1G, BELLEVILLE, IL, 62223
|
Signature of
Role |
Plan administrator |
Date |
2013-06-12 |
Name of individual signing |
BARBARA A. CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-12 |
Name of individual signing |
BARBARA A. CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
2011
|
371095468
|
2012-07-16
|
BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6183983162
|
Plan sponsor’s
address |
6400 W MAIN ST STE 1G, BELLEVILLE, IL, 62223
|
Plan administrator’s name and address
Administrator’s EIN |
371095468 |
Plan administrator’s name |
BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS |
Plan administrator’s
address |
6400 W MAIN ST STE 1G, BELLEVILLE, IL, 62223 |
Administrator’s telephone number |
6183983162 |
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
BARBARA A CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
BARBARA A CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
2009
|
371095468
|
2010-07-15
|
BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
6183983162
|
Plan sponsor’s
address |
6400 W MAIN ST STE 1G, BELLEVILLE, IL, 62223
|
Plan administrator’s name and address
Administrator’s EIN |
371095468 |
Plan administrator’s name |
BIG BROTHERS BIG SISTERS OF SOUTHWESTERN ILLINOIS |
Plan administrator’s
address |
6400 W MAIN ST STE 1G, BELLEVILLE, IL, 62223 |
Administrator’s telephone number |
6183983162 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
BARBARA A. CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-15 |
Name of individual signing |
BARBARA A. CEMPURA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|