HEALTH INSURANCE PLAN
|
2023
|
362068847
|
2024-10-21
|
LOEBER MOTORS, INC
|
157
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-21 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-21 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE BENEFIT PLAN
|
2023
|
362068847
|
2024-10-21
|
LOEBER MOTORS, INC
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-21 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-21 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE PLAN
|
2022
|
362068847
|
2023-09-28
|
LOEBER MOTORS, INC
|
144
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-28 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE BENEFIT PLAN
|
2022
|
362068847
|
2023-09-28
|
LOEBER MOTORS, INC
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-09-28 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-09-28 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE BENEFIT PLAN
|
2021
|
362068847
|
2022-11-18
|
LOEBER MOTORS, INC.
|
185
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-11-18 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-11-18 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE PLAN
|
2021
|
362068847
|
2022-11-18
|
LOEBER MOTORS, INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-11-18 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-11-18 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE BENEFIT PLAN
|
2020
|
362068847
|
2021-09-30
|
LOEBER MOTORS, INC
|
188
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE PLAN
|
2020
|
362068847
|
2021-09-30
|
LOEBER MOTORS, INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-09-30 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-30 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE BENEFIT PLAN
|
2019
|
362068847
|
2020-10-20
|
LOEBER MOTORS, INC
|
124
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-20 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HEALTH INSURANCE PLAN
|
2019
|
362068847
|
2020-10-20
|
LOEBER MOTORS, INC
|
150
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2004-05-01
|
Business code |
441110
|
Sponsor’s telephone number |
8476751000
|
Plan sponsor’s mailing address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Plan sponsor’s
address |
4255 W TOUHY AVE, LINCOLNWOOD, IL, 607121933
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-20 |
Name of individual signing |
JENNIFER KOLLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|