GOELLNER INC EMPLOYER GROUP HEALTH PLAN
|
2023
|
364348436
|
2024-07-25
|
GOELLNER, INC.
|
417
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
|
GOELLNER INC EMPLOYER GROUP HEALTH PLAN
|
2022
|
364348436
|
2023-07-31
|
GOELLNER, INC.
|
338
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
|
GOELLNER INC EMPLOYER GROUP HEALTH PLAN
|
2021
|
364348436
|
2022-07-25
|
GOELLNER, INC.
|
306
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Active participants |
306 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
GOELLNER INC EMPLOYER GROUP HEALTH PLAN
|
2020
|
364348436
|
2021-10-01
|
GOELLNER, INC.
|
379
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Active participants |
379 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
|
GOELLNER, INC. EYEMED VISION CARE
|
2018
|
364348436
|
2019-10-18
|
GOELLNER, INC.
|
397
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2013-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-18 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOELLNER INC EMPLOYER GROUP HEALTH PLAN
|
2018
|
364348436
|
2019-10-18
|
GOELLNER, INC.
|
271
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-18 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOELLNER, INC. EYEMED VISION CARE
|
2017
|
364348436
|
2018-10-15
|
GOELLNER, INC.
|
375
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2013-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
MELISSA SWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOELLNER, INC. LIFE, LTD, STD, AND INDEMNITY PLANS
|
2017
|
364348436
|
2018-10-15
|
GOELLNER, INC.
|
300
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-12-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
MELISSA SWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOELLNER, INC. EMPLOYER GROUP HEALTH PLAN
|
2017
|
364348436
|
2018-10-15
|
GOELLNER, INC.
|
247
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1997-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-12 |
Name of individual signing |
MELISSA SWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GOELLNER, INC. LIFE, LTD, STD, AND INDEMNITY PLANS
|
2016
|
364348436
|
2017-09-13
|
GOELLNER, INC
|
278
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2002-12-01
|
Business code |
332900
|
Sponsor’s telephone number |
8159626076
|
Plan sponsor’s mailing address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Plan sponsor’s
address |
2500 LATHAM ST, ROCKFORD, IL, 611033963
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-08-30 |
Name of individual signing |
ALEX GOELLNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|