EMPLOYEE GROUP INSURANCE BENEFIT
|
2015
|
364394033
|
2017-04-15
|
DANZE INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540104
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
32 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-04-15 |
Name of individual signing |
JAMES SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-15 |
Name of individual signing |
JAMES SCHWARTZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT
|
2014
|
364394033
|
2016-04-14
|
DANZE INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540104
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
38 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-04-14 |
Name of individual signing |
GLENN DIEHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-04-14 |
Name of individual signing |
GLENN DIEHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT
|
2013
|
364394033
|
2015-04-15
|
DANZE INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540104
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
35 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-04-15 |
Name of individual signing |
GLENN DIEHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-15 |
Name of individual signing |
GLENN DIEHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT
|
2012
|
364394033
|
2014-03-24
|
DANZE INC
|
45
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540104
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Number of participants as of the end of the plan year
Active participants |
39 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-03-24 |
Name of individual signing |
GLENN DIEHL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT PLAN
|
2011
|
364394033
|
2013-04-11
|
DANZE, INC.
|
52
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540101
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
364394033 |
Plan administrator’s name |
DANZE, INC. |
Plan administrator’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6307540101 |
Number of participants as of the end of the plan year
Active participants |
44 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2013-04-11 |
Name of individual signing |
BRIAN FIALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-11 |
Name of individual signing |
BRIAN FIALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT PLAN
|
2010
|
364394033
|
2012-04-04
|
DANZE, INC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540182
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
364394033 |
Plan administrator’s name |
DANZE, INC |
Plan administrator’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6307540182 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-04-04 |
Name of individual signing |
BRIAN FIALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE GROUP INSURANCE BENEFIT PLAN
|
2009
|
364394033
|
2011-03-09
|
DANZE, INC
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2006-07-01
|
Business code |
423700
|
Sponsor’s telephone number |
6307540182
|
Plan sponsor’s mailing address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan sponsor’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517
|
Plan administrator’s name and address
Administrator’s EIN |
364394033 |
Plan administrator’s name |
DANZE, INC |
Plan administrator’s
address |
2500 INTERNATIONALE PARKWAY, WOODRIDGE, IL, 60517 |
Administrator’s telephone number |
6307540182 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-03-09 |
Name of individual signing |
BRIAN FIALA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|