ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2015
|
363317058
|
2016-06-08
|
ACCESS COMMUNITY HEALTH NETWORK
|
626
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
577 |
Retired or separated participants receiving
benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-06-06 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2014
|
363317058
|
2015-07-09
|
ACCESS COMMUNITY HEALTH NETWORK
|
850
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
623 |
Retired or separated participants receiving
benefits |
3 |
Signature of
Role |
Plan administrator |
Date |
2015-07-09 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-09 |
Name of individual signing |
ELEVA RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2013
|
363317058
|
2014-06-26
|
ACCESS COMMUNITY HEALTH NETWORK
|
820
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
840 |
Retired or separated participants receiving
benefits |
10 |
Signature of
Role |
Plan administrator |
Date |
2014-06-12 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-26 |
Name of individual signing |
ELEVA RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2012
|
363317058
|
2013-06-24
|
ACCESS COMMUNITY HEALTH NETWORK
|
742
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
808 |
Retired or separated participants receiving
benefits |
12 |
Signature of
Role |
Plan administrator |
Date |
2013-06-24 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2011
|
363317058
|
2012-05-17
|
ACCESS COMMUNITY HEALTH NETWORK
|
937
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
735 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-16 |
Name of individual signing |
ELEVA RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2010
|
363317058
|
2011-06-30
|
ACCESS COMMUNITY HEALTH NETWORK
|
883
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
930 |
Retired or separated participants receiving
benefits |
7 |
Signature of
Role |
Plan administrator |
Date |
2011-06-30 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-30 |
Name of individual signing |
ELEVA RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCESS COMMUNITY HEALTH NETWORK EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
363317058
|
2010-05-17
|
ACCESS COMMUNITY HEALTH NETWORK
|
818
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2007-08-01
|
Business code |
621498
|
Sponsor’s telephone number |
3125262078
|
Plan sponsor’s mailing address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan sponsor’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661
|
Plan administrator’s name and address
Administrator’s EIN |
363317058 |
Plan administrator’s name |
ACCESS COMMUNITY HEALTH NETWORK |
Plan administrator’s
address |
600 WEST FULTON STREET, SUITE 200, CHICAGO, IL, 60661 |
Administrator’s telephone number |
3125262078 |
Number of participants as of the end of the plan year
Active participants |
871 |
Retired or separated participants receiving
benefits |
12 |
Signature of
Role |
Plan administrator |
Date |
2010-05-07 |
Name of individual signing |
DEBORAH WILLIAMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-14 |
Name of individual signing |
ELEVA RILEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|