FLATBEC INC EMPLOYEE GROUP HEALTH PLAN
|
2019
|
203612212
|
2020-07-15
|
FLATBEC INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
8159358640
|
Plan sponsor’s
address |
594 WILLIAM R LATHAM DRIVE, BOURBONNAIS, IL, 60914
|
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
WILLIAM PERAKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLATBEC INC EMPLOYEE GROUP HEALTH PLAN
|
2018
|
203612212
|
2019-07-31
|
FLATBEC INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2018-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
8159358640
|
Plan sponsor’s
address |
594 S WILLIAM LATHAM DR, BOURBONNAIS, IL, 60914
|
Signature of
Role |
Plan administrator |
Date |
2019-07-30 |
Name of individual signing |
BILL PERAKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-30 |
Name of individual signing |
BILL PERAKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|