FORESIGHT FINANCIAL GROUP, INC. WELFARE BENEFIT PLAN
|
2023
|
363371610
|
2024-03-19
|
FORESIGHT FINANCIAL GROUP, INC.
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan
sponsor’s DBA name |
FORESIGHT FINANCIAL GROUP
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Active participants |
252 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2024-03-19 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-03-19 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2023
|
363371610
|
2024-03-19
|
FORESIGHT FINANCIAL GROUP, INC.
|
123
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-03-19 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2022
|
363371610
|
2023-06-22
|
FORESIGHT FINANCIAL GROUP, INC.
|
135
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI CT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI CT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. WELFARE BENEFIT PLAN
|
2022
|
363371610
|
2023-06-22
|
FORESIGHT FINANCIAL GROUP, INC.
|
246
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2023-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. WELFARE BENEFIT PLAN
|
2021
|
363371610
|
2022-06-22
|
FORESIGHT FINANCIAL GROUP, INC.
|
257
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Active participants |
245 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2022-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2021
|
363371610
|
2022-06-22
|
FORESIGHT FINANCIAL GROUP, INC.
|
130
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-22 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2020
|
363371610
|
2021-06-04
|
FORESIGHT FINANCIAL GROUP, INC.
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-04 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. WELFARE BENEFIT PLAN
|
2020
|
363371610
|
2021-06-08
|
FORESIGHT FINANCIAL GROUP, INC.
|
258
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Active participants |
255 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2021-06-08 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. WELFARE BENEFIT PLAN
|
2019
|
363371610
|
2020-05-28
|
FORESIGHT FINANCIAL GROUP, INC.
|
264
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANNELL PURI COURT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Active participants |
257 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-05-28 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORESIGHT FINANCIAL GROUP, INC. HEALTH REIMBURSEMENT ARRANGEMENT
|
2019
|
363371610
|
2020-05-28
|
FORESIGHT FINANCIAL GROUP, INC.
|
129
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2012-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
8158477500
|
Plan sponsor’s mailing address |
809 CANELL PURI CT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Plan sponsor’s
address |
809 CANELL PURI CT, PO BOX 339, WINNEBAGO, IL, 610880339
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-05-28 |
Name of individual signing |
DEAN COOKE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|