LYON, LLC LIFE INSURANCE PLAN
|
2014
|
364759807
|
2015-10-14
|
LYON, LLC
|
233
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Plan administrator’s name and address
Administrator’s EIN |
364759807 |
Plan administrator’s name |
LYON, LLC |
Plan administrator’s
address |
P O BOX 671, AURORA, IL, 60507 |
Administrator’s telephone number |
6308928941 |
Number of participants as of the end of the plan year
Active participants |
340 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LYON, LLC HEALTH CARE PLAN
|
2014
|
364759807
|
2015-10-14
|
LYON, LLC
|
351
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1947-12-21
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Plan administrator’s name and address
Administrator’s EIN |
364759807 |
Plan administrator’s name |
LYON, LLC |
Plan administrator’s
address |
P O BOX 671, AURORA, IL, 60507 |
Administrator’s telephone number |
6308928941 |
Number of participants as of the end of the plan year
Active participants |
283 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR SALARIED AND HOURLY EMPLOYEES
|
2014
|
364759807
|
2015-10-14
|
LYON, LLC
|
234
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-11
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Plan administrator’s name and address
Administrator’s EIN |
364759807 |
Plan administrator’s name |
LYON, LLC |
Plan administrator’s
address |
P O BOX 671, AURORA, IL, 60507 |
Administrator’s telephone number |
6308928941 |
Number of participants as of the end of the plan year
Active participants |
254 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LONG TERM DISABILITY PLAN FOR SALARIED AND HOURLY EMLOYEES
|
2013
|
364759807
|
2014-10-14
|
LYON, LLC
|
253
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1982-08-11
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
CAROL STATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LYON, LLC INSURED HEALTH PLAN
|
2013
|
364759807
|
2014-10-14
|
LYON, LLC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2003-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P. O. BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
CAROL STATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LYON, LLC HEALTH CARE PLAN
|
2013
|
364759807
|
2014-10-14
|
LYON, LLC
|
359
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1947-12-21
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Number of participants as of the end of the plan year
Active participants |
351 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
CAROL STATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LYON, LLC LIFE INSURANCE PLAN
|
2013
|
364759807
|
2014-10-14
|
LYON, LLC
|
422
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1989-06-01
|
Business code |
332900
|
Sponsor’s telephone number |
6308928941
|
Plan sponsor’s mailing address |
P O BOX 671, AURORA, IL, 60507
|
Plan sponsor’s
address |
420 NORTH MAIN STREET, MONTGOMERY, IL, 60538
|
Number of participants as of the end of the plan year
Active participants |
233 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
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 |
0 |
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 |
CAROL STATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-14 |
Name of individual signing |
ROBERT MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|