CITY OF JEROME VISION
|
2010
|
826000211
|
2011-06-09
|
CITY OF JEROME
|
96
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2010-01-01
|
Business code |
921000
|
Sponsor’s telephone number |
2083248189
|
Plan sponsor’s mailing address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan sponsor’s
address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan administrator’s name and address
Administrator’s EIN |
826000211 |
Plan administrator’s name |
CITY OF JEROME |
Plan administrator’s
address |
152 EAST AVENUE A, JEROME, ID, 83338 |
Administrator’s telephone number |
2083248189 |
Number of participants as of the end of the plan year
Active participants |
103 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROSS HYATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITY OF JEROME LIFE
|
2010
|
826000211
|
2011-06-09
|
CITY OF JEROME
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2010-01-01
|
Business code |
921000
|
Sponsor’s telephone number |
2083248189
|
Plan sponsor’s mailing address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan sponsor’s
address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan administrator’s name and address
Administrator’s EIN |
826000211 |
Plan administrator’s name |
CITY OF JEROME |
Plan administrator’s
address |
152 EAST AVENUE A, JEROME, ID, 83338 |
Administrator’s telephone number |
2083248189 |
Number of participants as of the end of the plan year
Active participants |
102 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROSS HYATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITY OF JEROME DENTAL
|
2010
|
826000211
|
2011-06-09
|
CITY OF JEROME
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
921000
|
Sponsor’s telephone number |
2083248189
|
Plan sponsor’s mailing address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan sponsor’s
address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan administrator’s name and address
Administrator’s EIN |
826000211 |
Plan administrator’s name |
CITY OF JEROME |
Plan administrator’s
address |
152 EAST AVENUE A, JEROME, ID, 83338 |
Administrator’s telephone number |
2083248189 |
Number of participants as of the end of the plan year
Active participants |
103 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROSS HYATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CITY OF JEROME MEDICAL
|
2010
|
826000211
|
2011-06-09
|
CITY OF JEROME
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
921000
|
Sponsor’s telephone number |
2083248189
|
Plan sponsor’s mailing address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan sponsor’s
address |
152 EAST AVENUE A, JEROME, ID, 83338
|
Plan administrator’s name and address
Administrator’s EIN |
826000211 |
Plan administrator’s name |
CITY OF JEROME |
Plan administrator’s
address |
152 EAST AVENUE A, JEROME, ID, 83338 |
Administrator’s telephone number |
2083248189 |
Number of participants as of the end of the plan year
Active participants |
100 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROSS HYATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|