RETIREMENT PLAN FOR EMPLOYEES OF FERMI RESEARCH ALLIANCE, LLC
|
2023
|
571239010
|
2024-10-11
|
FERMI RESEARCH ALLIANCE, LLC
|
4124
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-03-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308404361
|
Plan
sponsor’s DBA name |
FERMI NATIONAL ACCELERATOR LABORATORY
|
Plan sponsor’s mailing address |
P.O. BOX 500, MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK ROAD AND PINESTREET, BATAVIA, IL, 60510
|
Number of participants as of the end of the plan year
Active participants |
1782 |
Retired or separated participants receiving
benefits |
34 |
Other
retired or separated participants entitled to future benefits |
2239 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
25 |
Number of
participants
with
account balances as of the end of the plan year |
4067 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
VELMA GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FERMI NATIONAL ACCELERATOR LABORATORY TAX SHELTERED ANNUITY PLAN
|
2023
|
571239010
|
2024-10-11
|
FERMI RESEARCH ALLIANCE, LLC
|
3400
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-07-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308404361
|
Plan
sponsor’s DBA name |
FERMI NATIONAL ACCELERATOR LABORATORY
|
Plan sponsor’s mailing address |
PO BOX 500, MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK RD AND PINE ST, BATAVIA, IL, 60510
|
Number of participants as of the end of the plan year
Active participants |
2241 |
Retired or separated participants receiving
benefits |
42 |
Other
retired or separated participants entitled to future benefits |
1366 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
31 |
Number of
participants
with
account balances as of the end of the plan year |
2887 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
VELMA GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FERMI NATIONAL ACCELERATOR LABORATORY HEALTH AND WELFARE BENEFITS PLAN
|
2023
|
571239010
|
2024-10-01
|
FERMI RESEARCH ALLIANCE, LLC
|
3309
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1993-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308403000
|
Plan
sponsor’s DBA name |
FERMI RESEARCH ALLIANCE, LLC
|
Plan sponsor’s mailing address |
MS 126, PO BOX 500, BATAVIA, IL, 605105011
|
Plan sponsor’s
address |
KIRK RD AND PINE STREET, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
MARIA LIFKA |
Plan administrator’s
address |
MS 126, PO BOX 500, BATAVIA, IL, 605105011 |
Administrator’s telephone number |
6308408569 |
Number of participants as of the end of the plan year
Active participants |
2200 |
Retired or separated participants receiving
benefits |
1216 |
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-01 |
Name of individual signing |
VELMA GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL PLAN FOR RETIREES OF THE SUPERCONDUCTING SUPERCOLLIDER LABORATORY
|
2023
|
571239010
|
2024-10-01
|
FERMI RESEARCH ALLIANCE LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1992-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308403000
|
Plan
sponsor’s DBA name |
FERMILAB
|
Plan sponsor’s mailing address |
PO BOX 500 MS 126, BATAVIA, IL, 605105011
|
Plan sponsor’s
address |
KIRK RD AND PINE STREET, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
JENNIFER GONDORCHIN |
Plan administrator’s
address |
PO BOX 500 MS 126, BATAVIA, IL, 605105011 |
Administrator’s telephone number |
6308404361 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
42 |
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-01 |
Name of individual signing |
VELMA GORDON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FERMI NATIONAL ACCELERATOR LABORATORY TAX SHELTERED ANNUITY PLAN
|
2022
|
571239010
|
2023-10-12
|
FERMI RESEARCH ALLIANCE, LLC
|
2267
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-07-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308404361
|
Plan
sponsor’s DBA name |
FERMINATIONAL ACCELERATOR LABORATORY
|
Plan sponsor’s mailing address |
PO BOX 500, MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK RD AND PINE ST, BATAVIA, IL, 60510
|
Number of participants as of the end of the plan year
Active participants |
1842 |
Retired or separated participants receiving
benefits |
43 |
Other
retired or separated participants entitled to future benefits |
1393 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
122 |
Number of
participants
with
account balances as of the end of the plan year |
2765 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
JENNIFER GONDORCHIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT PLAN FOR EMPLOYEES OF FERMI RESEARCH ALLIANCE, LLC
|
2022
|
571239010
|
2023-10-12
|
FERMI RESEARCH ALLIANCE, LLC
|
2007
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-03-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308404361
|
Plan
sponsor’s DBA name |
FERMI NATIONAL ACCELERATOR LABORATORY
|
Plan sponsor’s mailing address |
P.O. BOX 500, MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK ROAD AND PINESTREET, BATAVIA, IL, 60510
|
Number of participants as of the end of the plan year
Active participants |
1685 |
Retired or separated participants receiving
benefits |
30 |
Other
retired or separated participants entitled to future benefits |
2293 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
116 |
Number of
participants
with
account balances as of the end of the plan year |
4105 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
JENNIFER GONDORCHIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL PLAN FOR RETIREES OF THE SUPERCONDUCTING SUPERCOLLIDER LABORATORY
|
2022
|
571239010
|
2023-10-04
|
FERMI RESEARCH ALLIANCE, LLC
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1992-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308406000
|
Plan
sponsor’s DBA name |
FERMILAB
|
Plan sponsor’s mailing address |
PO BOX 500 MS 126, BATAVIA, IL, 605105011
|
Plan sponsor’s
address |
KIRK RD AND PINE STREET, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
JENNIFER GONDORCHIN |
Plan administrator’s
address |
PO BOX 500 MS 126, BATAVIA, IL, 605105011 |
Administrator’s telephone number |
6308404361 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
42 |
Signature of
Role |
Plan administrator |
Date |
2023-10-04 |
Name of individual signing |
MARIA LIFKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-04 |
Name of individual signing |
JENNIFER GONDORCHIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP MEDICAL PLAN FOR RETIREES OF THE SUPERCONDUCTING SUPERCOLLIDER LABORATORY
|
2021
|
571239010
|
2022-10-12
|
FERMI RESEARCH ALLIANCE, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
520
|
Effective date of plan |
1992-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308406000
|
Plan
sponsor’s DBA name |
FERMILAB
|
Plan sponsor’s mailing address |
PO BOX 500 MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK RD AND PINE ST, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
ANJU JAIN FERMI RESEARCH ALLIANCE, LLC |
Plan administrator’s
address |
P.O. BOX 500, MS 107, BATAVIA, IL, 60510 |
Administrator’s telephone number |
6308404361 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
42 |
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
ANJU JAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
ANJU JAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT PLAN FOR EMPLOYEES OF FERMI RESEARCH ALLIANCE, LLC
|
2021
|
571239010
|
2022-10-12
|
FERMI RESEARCH ALLIANCE, LLC
|
4106
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1989-03-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308404361
|
Plan
sponsor’s DBA name |
FERMI NATIONAL ACCELERATOR LABORATORY
|
Plan sponsor’s mailing address |
P.O. BOX 500, MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK ROAD AND PINESTREET, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
KAY VAN VREEDE FERMI RESEARCH ALLIANCE, LLC |
Plan administrator’s
address |
P.O. BOX 500, MS 107, BATAVIA, IL, 60510 |
Administrator’s telephone number |
6308404361 |
Number of participants as of the end of the plan year
Active participants |
1625 |
Retired or separated participants receiving
benefits |
29 |
Other
retired or separated participants entitled to future benefits |
347 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
6 |
Number of
participants
with
account balances as of the end of the plan year |
1999 |
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
JENNIFER GONDORCHIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-12 |
Name of individual signing |
ANJU JAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FERMI NATIONAL ACCELERATOR LABORATORY HEALTH AND WELFARE BENEFITS PLAN
|
2021
|
571239010
|
2022-10-10
|
FERMI RESEARCH ALLIANCE, LLC
|
3025
|
|
File |
View Page
|
Three-digit plan number (PN) |
514
|
Effective date of plan |
1993-01-01
|
Business code |
541700
|
Sponsor’s telephone number |
6308406000
|
Plan sponsor’s mailing address |
P.O. BOX 500 MS 126, BATAVIA, IL, 60510
|
Plan sponsor’s
address |
KIRK RD AND PINE ST, BATAVIA, IL, 60510
|
Plan administrator’s name and address
Administrator’s EIN |
571239010 |
Plan administrator’s name |
ANJU JAIN FERMI RESEARCH ALLIANCE, LLC |
Plan administrator’s
address |
P.O. BOX 500 MS 126, BATAVIA, IL, 60510 |
Administrator’s telephone number |
6308404361 |
Number of participants as of the end of the plan year
Active participants |
1946 |
Retired or separated participants receiving
benefits |
1191 |
Signature of
Role |
Plan administrator |
Date |
2022-10-10 |
Name of individual signing |
ANJU JAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-10 |
Name of individual signing |
ANJU JAIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|