|
WINDY CITY MOVING INC EMPLOYEE GROUP HEALTH PLAN
|
2018
|
270688946
|
2019-05-20
|
WINDY CITY MOVING INC
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2018-01-01
|
| Business code |
484200
|
| Sponsor’s telephone number |
8007336644
|
| Plan
sponsor’s DBA name |
NEW CITY MOVING INC
|
| Plan sponsor’s
address |
2929 N CAMPBELL AVE, CHICAGO, IL, 606187903
|
Signature of
| Role |
Plan administrator |
| Date |
2019-05-20 |
| Name of individual signing |
SAMANTHA HARNISCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WINDY CITY MOVING INC EMPLOYEE GROUP HEALTH PLAN
|
2017
|
270688946
|
2018-05-22
|
WINDY CITY MOVING, INC.
|
32
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-01-01
|
| Business code |
484200
|
| Plan
sponsor’s DBA name |
NEW CITY MOVING, INC.
|
| Plan sponsor’s
address |
2929 N CAMPBELL AVE, CHICAGO, IL, 606187903
|
Signature of
| Role |
Plan administrator |
| Date |
2018-05-22 |
| Name of individual signing |
SAMANTHA HARNISCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-05-22 |
| Name of individual signing |
SAMANTHA HARNISCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WINDY CITY MOVING INC EMPLOYEE GROUP HEALTH PLAN
|
2017
|
270688946
|
2018-05-22
|
WINDY CITY MOVING, INC.
|
32
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2017-01-01
|
| Business code |
484200
|
| Plan
sponsor’s DBA name |
NEW CITY MOVING, INC.
|
| Plan sponsor’s
address |
2929 N CAMPBELL AVE, CHICAGO, IL, 606187903
|
Signature of
| Role |
Plan administrator |
| Date |
2018-05-22 |
| Name of individual signing |
SAMANTHA HARNISCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-05-22 |
| Name of individual signing |
SAMANTHA HARNISCH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
WINDY CITY MOVING INC EMPLOYEE GROUP HEALTH PLAN
|
2016
|
270688946
|
2017-06-22
|
WINDY CITY MOVING INC
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2016-01-01
|
| Business code |
484200
|
| Sponsor’s telephone number |
8007336644
|
| Plan sponsor’s
address |
2929 N CAMPBELL AVE, CHICAGO, IL, 60618
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-22 |
| Name of individual signing |
BRIAN SLATER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
