SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2020
|
470487820
|
2022-06-28
|
SISBRO, INC.
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN LANE, QUINCY, IL, 62305
|
Plan sponsor’s
address |
4116 WISMANN LANE, QUINCY, IL, 62305
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-06-28 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2019
|
470487820
|
2021-06-29
|
SISBRO, INC.
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN LANE, QUINCY, IL, 62305
|
Plan sponsor’s
address |
4116 WISMANN LANE, QUINCY, IL, 62305
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-06-29 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2018
|
470487820
|
2020-07-14
|
SISBRO, INC.
|
113
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
87 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-13 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2015
|
470487820
|
2017-09-14
|
SISBRO, INC.
|
126
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
124 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-09-14 |
Name of individual signing |
A1830360 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2014
|
470487820
|
2016-09-14
|
SISBRO, INC.
|
121
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
132 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-14 |
Name of individual signing |
A1830360 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2013
|
470487820
|
2015-09-10
|
SISBRO, INC.
|
132
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
121 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-09-10 |
Name of individual signing |
A1830360 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2012
|
470487820
|
2014-09-08
|
SISBRO, INC.
|
136
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Number of participants as of the end of the plan year
Active participants |
129 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-09-08 |
Name of individual signing |
A1830360 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2011
|
470487820
|
2013-06-24
|
SISBRO, INC.
|
120
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
470487820 |
Plan administrator’s name |
SISBRO, INC. |
Plan administrator’s
address |
4116 WISMANN, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172282644 |
Number of participants as of the end of the plan year
Active participants |
131 |
Retired or separated participants receiving
benefits |
1 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-24 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. EMPLOYEE BENEFIT PLAN
|
2010
|
470487820
|
2012-09-12
|
SISBRO, INC.
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1991-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
470487820 |
Plan administrator’s name |
SISBRO, INC. |
Plan administrator’s
address |
4116 WISMANN, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172282644 |
Number of participants as of the end of the plan year
Active participants |
119 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SISBRO, INC. VOLUNTARY DENTAL PLAN
|
2010
|
470487820
|
2012-09-12
|
SISBRO, INC.
|
104
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-12-01
|
Business code |
484120
|
Sponsor’s telephone number |
2172282644
|
Plan sponsor’s mailing address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan sponsor’s
address |
4116 WISMANN, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
470487820 |
Plan administrator’s name |
SISBRO, INC. |
Plan administrator’s
address |
4116 WISMANN, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172282644 |
Number of participants as of the end of the plan year
Active participants |
93 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-09-12 |
Name of individual signing |
GLENN BEMIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|