WEBSTER-CANTRELL HALL 401(K) PLAN
|
2021
|
370982024
|
2022-05-16
|
WEBSTER-CANTRELL HALL
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s
address |
1942 EAST CANTRELL, DECATUR, IL, 62521
|
Signature of
Role |
Plan administrator |
Date |
2022-05-16 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH ALLIANCE
|
2019
|
370982024
|
2020-07-29
|
WEBSTER-CANTRELL HALL
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2019-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-07-29 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2019
|
370982024
|
2020-08-31
|
WEBSTER-CANTRELL HALL
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Signature of
Role |
Plan administrator |
Date |
2020-08-31 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WEBSTER-CANTRELL HALL
|
2018
|
370982024
|
2019-07-17
|
WEBSTER-CANTRELL HALL
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-10-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED HEALTHCARE
|
2018
|
370982024
|
2019-07-22
|
WEBSTER-CANTRELL HALL
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2017-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2018
|
370982024
|
2019-07-22
|
WEBSTER-CANTRELL HALL
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-22 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF WEBSTER CANTRELL HALL
|
2017
|
370982024
|
2018-07-24
|
WEBSTER CANTRELL HALL
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1982-10-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Signature of
Role |
Plan administrator |
Date |
2018-07-24 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
UNITED HEALTHCARE
|
2017
|
370982024
|
2018-07-30
|
WEBSTER-CANTRELL HALL
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2017-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-30 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WEBSTER-CANTRELL HALL-MUTUAL OF OMAHA
|
2017
|
370982024
|
2018-08-24
|
WEBSTER-CANTRELL HALL
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2017-03-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-08-24 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DELTA DENTAL
|
2017
|
370982024
|
2018-07-26
|
WEBSTER-CANTRELL HALL
|
111
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2017-01-01
|
Business code |
624100
|
Sponsor’s telephone number |
2174236961
|
Plan sponsor’s mailing address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Plan sponsor’s
address |
1942 E CANTRELL ST, DECATUR, IL, 625213214
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
CAROL BAUGHMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|