|
KNAPP BUILDERS INC EMPLOYEE GROUP HEALTH PLAN
|
2023
|
371253990
|
2024-07-24
|
KNAPP BUILDERS INC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2023-01-01
|
| Business code |
236110
|
| Plan sponsor’s
address |
418 OLYMPIA DR STE 3, BLOOMINGTON, IL, 617045365
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-24 |
| Name of individual signing |
SARA CASSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNAPP BUILDERS INC EMPLOYEE GROUP HEALTH PLAN
|
2022
|
371253990
|
2023-07-21
|
KNAPP BUILDERS INC
|
7
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2022-01-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
3096625250
|
| Plan sponsor’s
address |
418 OLYMPIA DR STE 3, BLOOMINGTON, IL, 617045365
|
Signature of
| Role |
Plan administrator |
| Date |
2023-07-21 |
| Name of individual signing |
SARA CASSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2023-07-21 |
| Name of individual signing |
SARA CASSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNAPP BUILDERS INC EMPLOYEE GROUP HEALTH PLAN
|
2021
|
371253990
|
2022-06-30
|
KNAPP BUILDERS, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2021-01-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
3096625250
|
| Plan sponsor’s
address |
418 OLYMPIA DR STE 3, BLOOMINGTON, IL, 617045365
|
Signature of
| Role |
Plan administrator |
| Date |
2022-06-30 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-06-30 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNAPP BUILDERS INC EMPLOYEE GROUP HEALTH PLAN
|
2020
|
371253990
|
2021-06-29
|
KNAPP BUILDERS, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
3096625250
|
| Plan sponsor’s
address |
418 OLYMPIA DR STE 3, BLOOMINGTON, IL, 617045365
|
Signature of
| Role |
Plan administrator |
| Date |
2021-06-29 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-06-29 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KNAPP BUILDERS INC EMPLOYEE GROUP HEALTH PLAN
|
2019
|
371253990
|
2020-07-01
|
KNAPP BUILDERS, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-09-01
|
| Business code |
236110
|
| Sponsor’s telephone number |
3096625250
|
| Plan sponsor’s
address |
418 OLYMPIA DR #3, BLOOMINGTON, IL, 617045365
|
Signature of
| Role |
Plan administrator |
| Date |
2020-07-01 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-07-01 |
| Name of individual signing |
TERI WENGER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
