PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2015
|
370999878
|
2016-10-14
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
297
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
1718 NORTH STERLING AVENUE, PEORIA, IL, 616043831
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616043831
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
303 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
14 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
174 |
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 |
2016-10-14 |
Name of individual signing |
TIM BECCUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2014
|
370999878
|
2015-10-09
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
297
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
1718 NORTH STERLING AVENUE, PEORIA, IL, 616043831
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616043831
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
342 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
10 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
151 |
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 |
2015-10-09 |
Name of individual signing |
TIM BECCUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2013
|
370999878
|
2014-10-14
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
297
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
330 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
20 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
130 |
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 |
2014-10-14 |
Name of individual signing |
TIM BECCUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2012
|
370999878
|
2013-10-09
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
324
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITAL'S MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
263 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
34 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
122 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
TIM BECCUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2010
|
370999878
|
2012-06-04
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
233
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITALS MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
292 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
20 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
109 |
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 |
2012-06-04 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-04 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2010
|
370999878
|
2011-10-14
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
233
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITALS MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
292 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
20 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
109 |
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 |
2011-10-14 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2009
|
370999878
|
2012-06-04
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
180
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITALS MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
225 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
103 |
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 |
2012-06-04 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-04 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES DBA ADVANCED MEDICAL TRANSPORT OF CENTRAL ILLINOIS 403(B) PLAN
|
2009
|
370999878
|
2010-10-12
|
PEORIA HOSPITALS MOBILE MEDICAL SERVICES
|
180
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
621900
|
Sponsor’s telephone number |
3094946206
|
Plan
sponsor’s DBA name |
ADVANCED MEDICAL TRANSPORT
|
Plan sponsor’s mailing address |
P.O. BOX 1569, PEORIA, IL, 616551569
|
Plan sponsor’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569
|
Plan administrator’s name and address
Administrator’s EIN |
370999878 |
Plan administrator’s name |
PEORIA HOSPITALS MOBILE MEDICAL SERVICES |
Plan administrator’s
address |
1718 N. STERLING AVE., PEORIA, IL, 616551569 |
Administrator’s telephone number |
3094946206 |
Number of participants as of the end of the plan year
Active participants |
225 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
103 |
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 |
2010-10-12 |
Name of individual signing |
JERRY KOLB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|