ROWAN TIRE CO INC EMPLOYEE GROUP HEALTH PLAN
|
2018
|
371294874
|
2019-06-27
|
ROWAN TIRE CO INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
441300
|
Sponsor’s telephone number |
6182337095
|
Plan sponsor’s
address |
1801 S. BELT WEST, BELLEVILLE, IL, 62226
|
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-27 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROWAN TIRE CO INC EMPLOYEE GROUP HEALTH PLAN
|
2017
|
371294874
|
2018-06-26
|
ROWAN TIRE CO INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
441300
|
Sponsor’s telephone number |
6182337095
|
Plan sponsor’s
address |
1801 S. BELT WEST, BELLEVILLE, IL, 62226
|
Signature of
Role |
Plan administrator |
Date |
2018-06-25 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-25 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROWAN TIRE CO INC EMPLOYEE GROUP HEALTH PLAN
|
2016
|
371294874
|
2017-06-07
|
ROWAN TIRE CO INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
441300
|
Sponsor’s telephone number |
6182337095
|
Plan sponsor’s
address |
1801 S. BELT WEST, BELLEVILLE, IL, 62226
|
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-07 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROWAN TIRE CO INC EMPLOYEE GROUP HEALTH PLAN
|
2015
|
371294874
|
2016-08-11
|
ROWAN TIRE CO INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2015-04-01
|
Business code |
441300
|
Sponsor’s telephone number |
6182337095
|
Plan sponsor’s
address |
1801 S. BELT WEST, BELLEVILLE, IL, 62226
|
Signature of
Role |
Plan administrator |
Date |
2016-08-11 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-11 |
Name of individual signing |
ROBERT ROWAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|