PREVENT CHILD ABUSE ILLINOIS 403(B) TAX-DEFERRED ANNUITY
|
2011
|
363779007
|
2012-07-19
|
PREVENT CHILD ABUSE ILLINOIS
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
2175221129
|
Plan sponsor’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363779007 |
Plan administrator’s name |
PREVENT CHILD ABUSE ILLINOIS |
Plan administrator’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175221129 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-19 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREVENT CHILD ABUSE ILLINOIS403(B) TAX-DEFERRED ANNUITY
|
2011
|
363779007
|
2012-07-19
|
PREVENT CHILD ABUSE ILLINOIS
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
2175221129
|
Plan sponsor’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363779007 |
Plan administrator’s name |
PREVENT CHILD ABUSE ILLINOIS |
Plan administrator’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175221129 |
Signature of
Role |
Plan administrator |
Date |
2012-07-19 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-19 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREVENT CHILD ABUSE ILLINOIS 403(B) TAX-DEFERRED ANNUITY
|
2010
|
363779007
|
2011-06-09
|
PREVENT CHILD ABUSE ILLINOIS
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
2175221129
|
Plan sponsor’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363779007 |
Plan administrator’s name |
PREVENT CHILD ABUSE ILLINOIS |
Plan administrator’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175221129 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-09 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREVENT CHILD ABUSE ILLINOIS 403(B) TAX-DEFERRED ANNUITY
|
2009
|
363779007
|
2010-08-27
|
PREVENT CHILD ABUSE ILLINOIS
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-09-01
|
Business code |
624100
|
Sponsor’s telephone number |
2175221129
|
Plan sponsor’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363779007 |
Plan administrator’s name |
PREVENT CHILD ABUSE ILLINOIS |
Plan administrator’s
address |
528 SOUTH FIFTH STREET, SUITE 211, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175221129 |
Signature of
Role |
Plan administrator |
Date |
2010-08-27 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-27 |
Name of individual signing |
ROY HARLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|