ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN
|
2011
|
363369241
|
2013-02-27
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2175417300
|
Plan sponsor’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363369241 |
Plan administrator’s name |
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION |
Plan administrator’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175417300 |
Signature of
Role |
Plan administrator |
Date |
2013-02-27 |
Name of individual signing |
ADAM BRUNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN
|
2010
|
363369241
|
2012-02-16
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2175417300
|
Plan sponsor’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363369241 |
Plan administrator’s name |
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION |
Plan administrator’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175417300 |
Signature of
Role |
Plan administrator |
Date |
2012-02-16 |
Name of individual signing |
ADAM BRUNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN
|
2009
|
363369241
|
2012-02-16
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2175417300
|
Plan sponsor’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363369241 |
Plan administrator’s name |
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION |
Plan administrator’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175417300 |
Signature of
Role |
Plan administrator |
Date |
2012-02-16 |
Name of individual signing |
ADAM BRUNS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION PLAN
|
2009
|
363369241
|
2011-01-13
|
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
|
19
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1991-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2175417300
|
Plan sponsor’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701
|
Plan administrator’s name and address
Administrator’s EIN |
363369241 |
Plan administrator’s name |
ILLINOIS PRIMARY HEALTH CARE ASSOCIATION |
Plan administrator’s
address |
500 SOUTH 9TH STREET, SPRINGFIELD, IL, 62701 |
Administrator’s telephone number |
2175417300 |
Signature of
Role |
Plan administrator |
Date |
2011-01-13 |
Name of individual signing |
JEFFREY HAMRICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|