BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN
|
2022
|
362747746
|
2023-11-10
|
BROADMOOR AGENCY, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
PO BOX 17069, ROCKFORD, IL, 61110
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN
|
2021
|
362747746
|
2023-04-26
|
BROADMOOR AGENCY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
PO BOX 17069, ROCKFORD, IL, 61110
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN
|
2020
|
362747746
|
2022-07-25
|
BROADMOOR AGENCY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
PO BOX 17069, ROCKFORD, IL, 61110
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN
|
2019
|
362747746
|
2021-05-03
|
BROADMOOR AGENCY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
3923 E. STATE ST., ROCKFORD, IL, 61108
|
Signature of
Role |
Plan administrator |
Date |
2021-05-03 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-03 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS AND RETIREMENT PLAN
|
2018
|
362747746
|
2020-05-21
|
BROADMOOR AGENCY, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
3923 E. STATE ST., ROCKFORD, IL, 61108
|
Signature of
Role |
Plan administrator |
Date |
2020-05-21 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-21 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS AND RETIREMENT PLAN
|
2017
|
362747746
|
2019-06-27
|
BROADMOOR AGENCY, INC.
|
28
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
3923 E STATE STREET, ROCKFORD, IL, 61108
|
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
MATTHEW R RIPPLINGER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-27 |
Name of individual signing |
NICOLE D GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS AND RETIREMENT PLAN
|
2017
|
362747746
|
2019-06-28
|
BROADMOOR AGENCY, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
3923 E STATE STREET, ROCKFORD, IL, 61108
|
Signature of
Role |
Plan administrator |
Date |
2019-06-28 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-28 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY INC E SAV AND RET PLAN
|
2016
|
362747746
|
2018-05-24
|
BROADMOOR AGENCY, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
321 W STATE ST FL 10, ROCKFORD, IL, 61101
|
Signature of
Role |
Plan administrator |
Date |
2018-05-24 |
Name of individual signing |
MATTHEW RIPPLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-05-24 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY INC E SAV&RET PLAN
|
2015
|
362747746
|
2017-06-12
|
BROADMOOR AGENCY, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
321 W STATE ST FL 10, ROCKFORD, IL, 61101
|
Signature of
Role |
Plan administrator |
Date |
2017-06-12 |
Name of individual signing |
MATTHEW RIPPLINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-12 |
Name of individual signing |
NICOLE GRISANZIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BROADMOOR AGENCY, INC. EMPLOYEE SAVINGS & RETIREMENT PLAN
|
2009
|
362747746
|
2011-05-26
|
BROADMOOR AGENCY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1989-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8159656700
|
Plan sponsor’s
address |
321 W. STATE STREET 10TH FLOOR, ROCKFORD, IL, 61101
|
Plan administrator’s name and address
Administrator’s EIN |
362747746 |
Plan administrator’s name |
BROADMOOR AGENCY, INC. |
Plan administrator’s
address |
321 W. STATE STREET 10TH FLOOR, ROCKFORD, IL, 61101 |
Administrator’s telephone number |
8159656700 |
Signature of
Role |
Plan administrator |
Date |
2011-05-26 |
Name of individual signing |
ALAN SAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|