HENRICKSEN FRINGE BENEFITS PLAN
|
2023
|
362649935
|
2024-10-11
|
HENRICKSEN & COMPANY INC
|
220
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2022
|
362649935
|
2023-10-09
|
HENRICKSEN & COMPANY INC
|
223
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2023-10-09 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-09 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2021
|
362649935
|
2022-10-04
|
HENRICKSEN & COMPANY INC
|
246
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2022-10-02 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2020
|
362649935
|
2021-07-26
|
HENRICKSEN & COMPANY INC
|
250
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-07-26 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-26 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2019
|
362649935
|
2020-10-06
|
HENRICKSEN & COMPANY INC
|
239
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-10-06 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-06 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2018
|
362649935
|
2019-10-10
|
HENRICKSEN & COMPANY INC
|
243
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-10-10 |
Name of individual signing |
JORGE ANAYA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN FRINGE BENEFITS PLAN
|
2017
|
362649935
|
2018-10-11
|
HENRICKSEN & COMPANY INC
|
239
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2015-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6302509090
|
Plan sponsor’s mailing address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Plan sponsor’s
address |
1101 W THORNDALE AVE, ITASCA, IL, 601431334
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-11 |
Name of individual signing |
KATHRYN SNIEGOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN & COMPANY VOLUNTARY LIFE INSURANCE
|
2014
|
362649935
|
2015-04-30
|
HENRICKSEN & COMPANY INC
|
156
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
2012-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6308750289
|
Plan sponsor’s mailing address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Plan sponsor’s
address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
JO ELLEN ALEIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN & COMPANY DENTAL INSURANCE
|
2014
|
362649935
|
2015-04-30
|
HENRICKSEN & COMPANY INC
|
117
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2013-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6308750289
|
Plan sponsor’s mailing address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Plan sponsor’s
address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
JO ELLEN ALEIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HENRICKSEN & COMPANY LIFE INSURANCE
|
2014
|
362649935
|
2015-04-30
|
HENRICKSEN & COMPANY INC
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2010-01-01
|
Business code |
442110
|
Sponsor’s telephone number |
6308750289
|
Plan sponsor’s mailing address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Plan sponsor’s
address |
1101 WEST THORNDALE AVENUE, ITASCA, IL, 60143
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-04-30 |
Name of individual signing |
JO ELLEN ALEIDE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|