MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2011
|
363050926
|
2012-05-29
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2012-05-29 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-06
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-08
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
KRIS THIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-06
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-06 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-07
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
KRIS THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-07
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
KRIS THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-06
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2010
|
363050926
|
2011-06-06
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
48
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-06 |
Name of individual signing |
KRISTINE THIES |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. 401(K) RETIREMENT & SAVINGS PLAN
|
2009
|
363050926
|
2010-07-12
|
MIDWEST CERTIFIED INSURANCE AGENCY, LTD.
|
46
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-08-01
|
Business code |
524210
|
Sponsor’s telephone number |
8476408000
|
Plan sponsor’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006
|
Plan administrator’s name and address
Administrator’s EIN |
363050926 |
Plan administrator’s name |
MIDWEST CERTIFIED INSURANCE AGENCY, LTD. |
Plan administrator’s
address |
54 WEST SEEGERS ROAD, ARLINGTON HEIGHTS, IL, 60006 |
Administrator’s telephone number |
8476408000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-12 |
Name of individual signing |
KRIS THIES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|