KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2020
|
364222963
|
2021-09-27
|
KING-FORMAN INSURANCE AGENCY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
ADAM KAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-27 |
Name of individual signing |
ADAM KAMM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2019
|
364222963
|
2020-07-10
|
KING-FORMAN INSURANCE AGENCY, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
WENDY KORTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-10 |
Name of individual signing |
WENDY KORTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2018
|
364222963
|
2019-07-09
|
KING-FORMAN INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2019-07-09 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-09 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2017
|
364222963
|
2018-06-06
|
KING-FORMAN INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2018-06-06 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-06 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2016
|
364222963
|
2017-02-23
|
KING-FORMAN INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2017-02-23 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-02-23 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2015
|
364222963
|
2016-07-12
|
KING-FORMAN INSURANCE AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-12 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2014
|
364222963
|
2015-06-26
|
KING-FORMAN INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2013
|
364222963
|
2014-06-11
|
KING-FORMAN INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2014-06-11 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-11 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2012
|
364222963
|
2013-06-26
|
KING-FORMAN INSURANCE AGENCY, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Signature of
Role |
Plan administrator |
Date |
2013-06-26 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-26 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KING-FORMAN INSURANCE AGENCY 401(K) PLAN
|
2011
|
364222963
|
2012-07-27
|
KING-FORMAN INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-12-15
|
Business code |
524210
|
Sponsor’s telephone number |
8472980100
|
Plan sponsor’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429
|
Plan administrator’s name and address
Administrator’s EIN |
364222963 |
Plan administrator’s name |
KING-FORMAN INSURANCE AGENCY, INC. |
Plan administrator’s
address |
2604 E DEMPSTER ST STE 501, PARK RIDGE, IL, 600688429 |
Administrator’s telephone number |
8472980100 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-27 |
Name of individual signing |
GEORGE WALSH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|