GROUP WELFARE PLAN
|
2019
|
363029729
|
2020-07-14
|
BARNES INTERNATIONAL, INC.
|
166
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159662542
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Number of participants as of the end of the plan year
Active participants |
143 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-14 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-14 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2018
|
363029729
|
2019-10-03
|
BARNES INTERNATIONAL, INC.
|
182
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159648661
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Number of participants as of the end of the plan year
Active participants |
152 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-10-03 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2017
|
363029729
|
2018-07-26
|
BARNES INTERNATIONAL, INC.
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159662542
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Number of participants as of the end of the plan year
Active participants |
185 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-07-26 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2016
|
363029729
|
2017-07-28
|
BARNES INTERNATIONAL, INC.
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159648661
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-28 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-28 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2015
|
363029729
|
2016-09-14
|
BARNES INTERNATIONAL, INC.
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159648661
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 611022242
|
Number of participants as of the end of the plan year
Active participants |
193 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2016-09-14 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-14 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2014
|
363029729
|
2015-09-11
|
BARNES INTERNATIONAL, INC.
|
227
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159662542
|
Plan sponsor’s mailing address |
814 CHESTNUT ST, ROCKFORD, IL, 61102
|
Plan sponsor’s
address |
814 CHESTNUT ST, ROCKFORD, IL, 61102
|
Number of participants as of the end of the plan year
Active participants |
205 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-09-11 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-11 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2012
|
363029729
|
2013-09-12
|
BARNES INTERNATIONAL, INC.
|
208
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Plan sponsor’s mailing address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan sponsor’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Number of participants as of the end of the plan year
Active participants |
203 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2013-09-12 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2011
|
363029729
|
2012-10-12
|
BARNES INTERNATIONAL, INC.
|
138
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159662542
|
Plan sponsor’s mailing address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan sponsor’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan administrator’s name and address
Administrator’s EIN |
363029729 |
Plan administrator’s name |
BARNES INTERNATIONAL, INC. |
Plan administrator’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102 |
Administrator’s telephone number |
8159662542 |
Number of participants as of the end of the plan year
Active participants |
206 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2010
|
363029729
|
2011-10-12
|
BARNES INTERNATIONAL, INC.
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159648661
|
Plan sponsor’s mailing address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan sponsor’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan administrator’s name and address
Administrator’s EIN |
363029729 |
Plan administrator’s name |
BARNES INTERNATIONAL, INC. |
Plan administrator’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102 |
Administrator’s telephone number |
8159648661 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GROUP WELFARE PLAN
|
2010
|
363029729
|
2011-10-10
|
BARNES INTERNATIONAL, INC.
|
175
|
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1983-04-01
|
Business code |
333900
|
Sponsor’s telephone number |
8159648661
|
Plan sponsor’s mailing address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan sponsor’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102
|
Plan administrator’s name and address
Administrator’s EIN |
363029729 |
Plan administrator’s name |
BARNES INTERNATIONAL, INC. |
Plan administrator’s
address |
814 CHESTNUT ST., ROCKFORD, IL, 61102 |
Administrator’s telephone number |
8159648661 |
Number of participants as of the end of the plan year
Active participants |
136 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
NANCY WILLIAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|