PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN
|
2012
|
363828320
|
2013-10-10
|
PCC COMMUNITY WELLNESS CENTER
|
281
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
7083830113
|
Plan sponsor’s mailing address |
14 WEST LAKE STREEET, OAK PARK, IL, 60302
|
Plan sponsor’s
address |
14 WEST LAKE STREEET, OAK PARK, IL, 60302
|
Number of participants as of the end of the plan year
Active participants |
249 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
NANCY MARTORELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN
|
2011
|
363828320
|
2013-10-10
|
PCC COMMUNITY WELLNESS CENTER
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
7083830113
|
Plan sponsor’s mailing address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan sponsor’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan administrator’s name and address
Administrator’s EIN |
363828320 |
Plan administrator’s name |
PCC COMMUNITY WELLNESS CENTER |
Plan administrator’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302 |
Administrator’s telephone number |
7083830113 |
Number of participants as of the end of the plan year
Active participants |
279 |
Retired or separated participants receiving
benefits |
2 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
NANCY MARTORELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN
|
2010
|
363828320
|
2013-10-10
|
PCC COMMUNITY WELLNESS CENTER
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
7083830113
|
Plan sponsor’s mailing address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan sponsor’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan administrator’s name and address
Administrator’s EIN |
363828320 |
Plan administrator’s name |
PCC COMMUNITY WELLNESS CENTER |
Plan administrator’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302 |
Administrator’s telephone number |
7083830113 |
Number of participants as of the end of the plan year
Active participants |
267 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
NANCY MARTORELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PCC COMMUNITY WELLNESS CENTER HEALTH & WELFARE PLAN
|
2009
|
363828320
|
2013-10-10
|
PCC COMMUNITY WELLNESS CENTER
|
168
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1993-04-01
|
Business code |
624200
|
Sponsor’s telephone number |
7083830113
|
Plan sponsor’s mailing address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan sponsor’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302
|
Plan administrator’s name and address
Administrator’s EIN |
363828320 |
Plan administrator’s name |
PCC COMMUNITY WELLNESS CENTER |
Plan administrator’s
address |
14 WEST LAKE STREET, OAK PARK, IL, 60302 |
Administrator’s telephone number |
7083830113 |
Number of participants as of the end of the plan year
Active participants |
273 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
NANCY MARTORELLI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|