MBGH RETIREMENT INCOME PLAN
|
2023
|
363059249
|
2024-10-10
|
MIDWEST BUSINESS GROUP ON HEALTH
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
211 S CLARK #2749, CHICAGO, IL, 60604
|
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-10 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2022
|
363059249
|
2023-10-12
|
MIDWEST BUSINESS GROUP ON HEALTH
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2023-10-12 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-12 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2021
|
363059249
|
2022-10-07
|
MIDWEST BUSINESS GROUP ON HEALTH
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2020
|
363059249
|
2021-08-18
|
MIDWEST BUSINESS GROUP ON HEALTH
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2021-08-18 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-18 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2019
|
363059249
|
2020-10-01
|
MIDWEST BUSINESS GROUP ON HEALTH
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2020-09-30 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-30 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2018
|
363059249
|
2019-09-18
|
MIDWEST BUSINESS GROUP ON HEALTH
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2019-09-18 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-18 |
Name of individual signing |
CHERYL LARSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2017
|
363059249
|
2018-09-13
|
MIDWEST BUSINESS GROUP ON HEALTH
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2018-09-13 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-13 |
Name of individual signing |
LORI HURTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2016
|
363059249
|
2017-09-27
|
MIDWEST BUSINESS GROUP ON HEALTH
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 SOUTH WACKER DR, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2017-09-25 |
Name of individual signing |
LARRY BORESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-25 |
Name of individual signing |
LARRY BORESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2015
|
363059249
|
2016-06-30
|
MIDWEST BUSINESS GROUP ON HEALTH
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
125 S WACKER DRIVE, SUITE 1350, CHICAGO, IL, 60606
|
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
LARRY BORESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MBGH RETIREMENT INCOME PLAN
|
2014
|
363059249
|
2015-10-15
|
MIDWEST BUSINESS GROUP ON HEALTH
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1987-12-24
|
Business code |
813000
|
Sponsor’s telephone number |
3123729090
|
Plan sponsor’s
address |
35 E WACKER DRIVE, SUITE 1500, CHICAGO, IL, 60601
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
LARRY BORESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
LARRY BORESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|