|
ILLINI WIRE WORKS INC. EMPLOYER GROUP HEALTH PLAN
|
2020
|
371367436
|
2022-01-24
|
ILLINI WIRE WORKS INC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2020-01-01
|
| Business code |
332510
|
| Sponsor’s telephone number |
6183955200
|
| Plan sponsor’s
address |
PO BOX 86, OLNEY, IL, 624500086
|
Signature of
| Role |
Plan administrator |
| Date |
2022-01-24 |
| Name of individual signing |
BARBARA PING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ILLINI WIRE WORKS INC EMPLOYEE GROUP HEALTH PLAN
|
2019
|
371367436
|
2020-08-10
|
ILLINI WIRE WORKS INC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2019-01-01
|
| Business code |
332510
|
| Sponsor’s telephone number |
6183955200
|
| Plan sponsor’s
address |
PO BOX 86, OLNEY, IL, 624500086
|
Signature of
| Role |
Plan administrator |
| Date |
2020-08-10 |
| Name of individual signing |
BARBARA PING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-08-10 |
| Name of individual signing |
BARBARA PING |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
