CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2016
|
363026462
|
2017-03-10
|
CY S ROSENGARTEN, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2017-03-10 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD
|
2016
|
363026462
|
2017-03-10
|
CY S ROSENGARTEN, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8476762300
|
Plan sponsor’s
address |
7651 NORTH CALDWELL, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2017-03-10 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2015
|
363026462
|
2016-07-19
|
CY S ROSENGARTEN, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Signature of
Role |
Plan administrator |
Date |
2016-07-19 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2014
|
363026462
|
2015-08-24
|
CY S ROSENGARTEN, LTD
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
363026462 |
Plan administrator’s name |
CY S ROSENGARTEN, LTD |
Plan administrator’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714 |
Administrator’s telephone number |
8474775600 |
Signature of
Role |
Plan administrator |
Date |
2015-08-24 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2013
|
363026462
|
2014-10-16
|
CY S ROSENGARTEN, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
363026462 |
Plan administrator’s name |
CY S ROSENGARTEN, LTD |
Plan administrator’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714 |
Administrator’s telephone number |
8474775600 |
Signature of
Role |
Plan administrator |
Date |
2014-10-16 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2012
|
363026462
|
2013-08-29
|
CY S ROSENGARTEN, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
363026462 |
Plan administrator’s name |
CY S ROSENGARTEN, LTD |
Plan administrator’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714 |
Administrator’s telephone number |
8474775600 |
Signature of
Role |
Plan administrator |
Date |
2013-08-29 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2011
|
363026462
|
2012-10-01
|
CY S ROSENGARTEN, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
363026462 |
Plan administrator’s name |
CY S ROSENGARTEN, LTD |
Plan administrator’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714 |
Administrator’s telephone number |
8474775600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CY S ROSENGARTEN, LTD WELFARE BENEFIT PLAN PRIME WELFARE BENEFIT TRUST
|
2010
|
363026462
|
2011-10-11
|
CY S ROSENGARTEN, LTD
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1989-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8474775600
|
Plan sponsor’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714
|
Plan administrator’s name and address
Administrator’s EIN |
363026462 |
Plan administrator’s name |
CY S ROSENGARTEN, LTD |
Plan administrator’s
address |
7651 NORTH CALDWELL AVENUE, NILES, IL, 60714 |
Administrator’s telephone number |
8474775600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
CY S. ROSENGARTEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|