EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT INC
|
2020
|
363462757
|
2021-07-28
|
BILL JACOBS MOTORSPORT HOLDINGS INC
|
334
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Plan sponsor’s
address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
BETH BREAZEALE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-28 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT INC
|
2019
|
363462757
|
2020-07-31
|
BILL JACOBS MOTORSPORT HOLDINGS INC
|
298
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Plan sponsor’s
address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-31 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT INC
|
2018
|
363462757
|
2019-08-30
|
BILL JACOBS MOTORSPORT HOLDINGS INC
|
298
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Plan sponsor’s
address |
2495 AURORA AVE, NAPERVILLE, IL, 605401023
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-08-30 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT, INC
|
2012
|
363462757
|
2013-07-31
|
BILL JACOBS MOTORSPORT, INC
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Plan sponsor’s
address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-31 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT, INC
|
2011
|
363462757
|
2012-08-08
|
BILL JACOBS MOTORSPORT, INC
|
190
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Plan sponsor’s
address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
363462757 |
Plan administrator’s name |
BILL JACOBS MOTORSPORT, INC |
Plan administrator’s
address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303571200 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-08-08 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT, INC
|
2010
|
363462757
|
2011-08-08
|
BILL JACOBS MOTORSPORT INC
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVE, NAPERVILLE, IL, 60540
|
Plan sponsor’s
address |
2495 AURORA AVE, NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
363462757 |
Plan administrator’s name |
BILL JACOBS MOTORSPORT, INC |
Plan administrator’s
address |
2495 AURORA AVE, NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303571200 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-08 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE WELFARE BENEFIT PLAN FOR BILL JACOBS MOTORSPORT, INC.
|
2009
|
363462757
|
2010-08-02
|
BILL JACOBS MOTORSPORT, INC
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1986-03-01
|
Business code |
551112
|
Sponsor’s telephone number |
6303571200
|
Plan sponsor’s mailing address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Plan sponsor’s
address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540
|
Plan administrator’s name and address
Administrator’s EIN |
363462757 |
Plan administrator’s name |
BILL JACOBS MOTORSPORT, INC |
Plan administrator’s
address |
2495 AURORA AVENUE, NAPERVILLE, IL, 60540 |
Administrator’s telephone number |
6303571200 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
NANCY SIMNITCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|