GROUP HEALTH INSURANCE PLAN OF FEDERATED FUNERAL DIRECTORS OF AMERICA
|
2010
|
370271510
|
2011-12-29
|
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC.
|
203
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1957-03-01
|
Business code |
541211
|
Sponsor’s telephone number |
2175251712
|
Plan sponsor’s mailing address |
BOX 19244, SPRINGFIELD, IL, 627949244
|
Plan sponsor’s
address |
1622 S MACARTHUR BLVD, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
370271510 |
Plan administrator’s name |
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC. |
Plan administrator’s
address |
BOX 19244, SPRINGFIELD, IL, 627949244 |
Administrator’s telephone number |
2175251712 |
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-12-29 |
Name of individual signing |
JOHN RODENBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN OF FEDERATED FUNERAL DIRECTORS OF AMERICA
|
2010
|
370271510
|
2011-12-29
|
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC.
|
203
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1957-03-01
|
Business code |
541211
|
Sponsor’s telephone number |
2175251712
|
Plan sponsor’s mailing address |
BOX 19244, SPRINGFIELD, IL, 627949244
|
Plan sponsor’s
address |
1622 S MACARTHUR BLVD, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
370271510 |
Plan administrator’s name |
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC. |
Plan administrator’s
address |
BOX 19244, SPRINGFIELD, IL, 627949244 |
Administrator’s telephone number |
2175251712 |
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-12-29 |
Name of individual signing |
JOHN RODENBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN OF FEDERATED FUNERAL DIRECTORS OF AMERICA
|
2009
|
370271510
|
2010-11-09
|
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC.
|
210
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1957-03-01
|
Business code |
541211
|
Sponsor’s telephone number |
2175251712
|
Plan sponsor’s mailing address |
BOX 19244, SPRINGFIELD, IL, 627949244
|
Plan sponsor’s
address |
1622 S MACARTHUR BLVD, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
370271510 |
Plan administrator’s name |
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC. |
Plan administrator’s
address |
BOX 19244, SPRINGFIELD, IL, 627949244 |
Administrator’s telephone number |
2175251712 |
Number of participants as of the end of the plan year
Signature of
Role |
Employer/plan sponsor |
Date |
2010-11-09 |
Name of individual signing |
JOHN RODENBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP HEALTH INSURANCE PLAN OF FEDERATED FUNERAL DIRECTORS OF AMERICA
|
2009
|
370271510
|
2010-11-09
|
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC.
|
210
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1957-03-01
|
Business code |
541211
|
Sponsor’s telephone number |
2175251712
|
Plan sponsor’s mailing address |
BOX 19244, SPRINGFIELD, IL, 627949244
|
Plan sponsor’s
address |
1622 S MACARTHUR BLVD, SPRINGFIELD, IL, 62704
|
Plan administrator’s name and address
Administrator’s EIN |
370271510 |
Plan administrator’s name |
FEDERATED FUNERAL DIRECTORS OF AMERICA, INC. |
Plan administrator’s
address |
BOX 19244, SPRINGFIELD, IL, 627949244 |
Administrator’s telephone number |
2175251712 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-11-09 |
Name of individual signing |
JOHN RODENBURG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|