THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2023
|
710930845
|
2024-10-14
|
MIDWEST TRANSPORT, INC.
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s
address |
PO BOX 8608, ROBINSON, IL, 62454
|
Signature of
Role |
Plan administrator |
Date |
2024-10-14 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2022
|
710930845
|
2023-10-16
|
MIDWEST TRANSPORT, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s
address |
PO BOX 8608, ROBINSON, IL, 62454
|
Signature of
Role |
Plan administrator |
Date |
2023-10-16 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2021
|
710930845
|
2022-10-14
|
MIDWEST TRANSPORT, INC.
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s
address |
PO BOX 8608, ROBINSON, IL, 62454
|
Signature of
Role |
Plan administrator |
Date |
2022-10-14 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2020
|
710930845
|
2021-07-27
|
MIDWEST TRANSPORT, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s
address |
PO BOX 8608, ROBINSON, IL, 62454
|
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST TRANSPORT, INC. EMPLOYEE BENEFITS PLAN
|
2020
|
710930845
|
2021-11-01
|
MIDWEST TRANSPORT, INC.
|
389
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2020-04-01
|
Business code |
484110
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s mailing address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Plan sponsor’s
address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Number of participants as of the end of the plan year
Active participants |
395 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-11-01 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST TRANSPORT, INC. EMPLOYEE BENEFITS PLAN
|
2019
|
710930845
|
2020-10-27
|
MIDWEST TRANSPORT, INC.
|
523
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2019-04-01
|
Business code |
484110
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s mailing address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Plan sponsor’s
address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-27 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2019
|
710930845
|
2020-07-16
|
MIDWEST TRANSPORT, INC.
|
128
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s mailing address |
PO BOX 8608, ROBINSON, IL, 62454
|
Plan sponsor’s
address |
11385 N. TREMBLE ROAD, ROBINSON, IL, 62454
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE CONTRACTORS PLAN TRUST HEALTH REIMBURSEMENT ARRANGEMENT
|
2018
|
710930845
|
2019-07-31
|
MIDWEST TRANSPORT, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2018-01-01
|
Business code |
484120
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s
address |
PO BOX 8608, ROBINSON, IL, 62454
|
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
KARA FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
KARA FISHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST TRANSPORT, INC. EMPLOYEE BENEFITS PLAN
|
2018
|
710930845
|
2019-10-16
|
MIDWEST TRANSPORT, INC.
|
548
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-04-01
|
Business code |
484110
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s mailing address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Plan sponsor’s
address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-16 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST TRANSPORT, INC. EMPLOYEE BENEFITS PLAN
|
2017
|
710930845
|
2019-01-03
|
MIDWEST TRANSPORT, INC.
|
381
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-04-01
|
Business code |
484110
|
Sponsor’s telephone number |
6185443399
|
Plan sponsor’s mailing address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Plan sponsor’s
address |
11385 N. TRIMBLE ROAD, ROBINSON, IL, 62454
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-03 |
Name of individual signing |
JOY WERNZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|