MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS EMPLOYEES
|
2010
|
370924895
|
2011-06-16
|
MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-11-15
|
Business code |
621420
|
Sponsor’s telephone number |
2172235609
|
Plan sponsor’s
address |
525 SOUTH 8TH STREET, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
370924895 |
Plan administrator’s name |
MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS |
Plan administrator’s
address |
525 SOUTH 8TH STREET, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172235609 |
Signature of
Role |
Plan administrator |
Date |
2011-06-10 |
Name of individual signing |
STEVEN A HEIMBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS EMPLOYEES
|
2009
|
370924895
|
2010-07-27
|
MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1971-11-15
|
Business code |
621420
|
Sponsor’s telephone number |
2172235609
|
Plan sponsor’s
address |
525 SOUTH 8TH STREET, QUINCY, IL, 62301
|
Plan administrator’s name and address
Administrator’s EIN |
370924895 |
Plan administrator’s name |
MENTAL HEALTH AUTHORITY FOR WEST CENTRAL ILLINOIS |
Plan administrator’s
address |
525 SOUTH 8TH STREET, QUINCY, IL, 62301 |
Administrator’s telephone number |
2172235609 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
STEVEN HEIMBERGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|