LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2019
|
362373740
|
2020-09-09
|
LUNDSTROM INSURANCE AGENCY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BLVD, SUITE 200, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
410417830 |
Plan administrator’s name |
MINNESOTA LIFE INSURANCE COMPANY |
Plan administrator’s
address |
400 ROBERT STREET NORTH, ST PAUL, MN, 55101 |
Administrator’s telephone number |
6516653500 |
Signature of
Role |
Plan administrator |
Date |
2020-09-09 |
Name of individual signing |
RICK AYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2019
|
362373740
|
2020-06-09
|
LUNDSTROM INSURANCE AGENCY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
410417830 |
Plan administrator’s name |
MINNESOTA LIFE INSURANCE COMPANY |
Plan administrator’s
address |
400 ROBERT STREET NORTH, ST PAUL, MN, 55101 |
Administrator’s telephone number |
6516653500 |
Signature of
Role |
Plan administrator |
Date |
2020-06-09 |
Name of individual signing |
RICK AYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2018
|
362373740
|
2019-07-16
|
LUNDSTROM INSURANCE AGENCY, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
410417830 |
Plan administrator’s name |
MINNESOTA LIFE INSURANCE COMPANY |
Plan administrator’s
address |
400 ROBERT STREET NORTH, ST PAUL, MN, 55101 |
Administrator’s telephone number |
6516653500 |
Signature of
Role |
Plan administrator |
Date |
2019-07-16 |
Name of individual signing |
RICK AYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2017
|
362373740
|
2018-07-09
|
LUNDSTROM INSURANCE AGENCY, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2018-07-09 |
Name of individual signing |
BRETT LUNDSTROM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-09 |
Name of individual signing |
BRETT LUNDSTROM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2016
|
362373740
|
2017-06-08
|
LUNDSTROM INSURANCE AGENCY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2017-06-08 |
Name of individual signing |
BRETT LUNDSTROM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-08 |
Name of individual signing |
BRETT LUNDSTROM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2015
|
362373740
|
2016-05-18
|
LUNDSTROM INSURANCE AGENCY, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2016-05-18 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-18 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2014
|
362373740
|
2015-05-21
|
LUNDSTROM INSURANCE AGENCY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2015-05-21 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-21 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2013
|
362373740
|
2014-04-30
|
LUNDSTROM INSURANCE AGENCY, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2014-04-30 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-04-30 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2012
|
362373740
|
2013-06-13
|
LUNDSTROM INSURANCE AGENCY, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Signature of
Role |
Plan administrator |
Date |
2013-06-13 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-13 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LUNDSTROM INSURANCE AGENCY RETIREMENT SAVINGS PLAN
|
2011
|
362373740
|
2013-06-18
|
LUNDSTROM INSURANCE AGENCY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8477411000
|
Plan sponsor’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123
|
Plan administrator’s name and address
Administrator’s EIN |
362373740 |
Plan administrator’s name |
LUNDSTROM INSURANCE AGENCY, INC. |
Plan administrator’s
address |
2205 POINT BOULEVARD, SUITE 200, ELGIN, IL, 60123 |
Administrator’s telephone number |
8477411000 |
Signature of
Role |
Plan administrator |
Date |
2013-06-18 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-18 |
Name of individual signing |
DALE BERNHARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|