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  5. UNION ONE BENEFITS ADMINISTRATION, INC.

UNION ONE BENEFITS ADMINISTRATION, INC.

Branch

Company Details

Entity Name: UNION ONE BENEFITS ADMINISTRATION, INC.
Jurisdiction: Illinois
Entity Type: Corporation - Foreign BCA
Status: Goodstanding
Date Formed: 16 Sep 2011
Branch of: UNION ONE BENEFITS ADMINISTRATION, INC., FLORIDA (Company Number P06000020096)
Company Number: CORP_68023408
File Number: 68023408
Type of Business: All Inclusive Purpose
Place of Formation: FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2021 710997632 2022-07-08 CORNERSTONE ASSURANCE GROUP, INC. 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 28160 W NORTHWEST HIGHWAY, SUITE 203, LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2020 710997632 2021-06-21 CORNERSTONE ASSURANCE GROUP, INC. 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 28160 W NORTHWEST HIGHWAY, SUITE 203, LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2019 710997632 2020-05-11 CORNERSTONE ASSURANCE GROUP, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2018 710997632 2019-05-31 CORNERSTONE ASSURANCE GROUP, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2017 710997632 2018-07-10 CORNERSTONE ASSURANCE GROUP, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2016 710997632 2017-08-08 CORNERSTONE ASSURANCE GROUP, INC. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2015 710997632 2016-06-22 CORNERSTONE ASSURANCE GROUP, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2014 710997632 2015-07-15 CORNERSTONE ASSURANCE GROUP, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010
CORNERSTONE COMPANIES RETIREMENT SAVINGS PLAN 2014 710997632 2015-06-10 CORNERSTONE ASSURANCE GROUP, INC. 12
Three-digit plan number (PN) 001
Effective date of plan 2014-01-01
Business code 524210
Sponsor’s telephone number 2246552494
Plan sponsor’s address 22333 CLASSIC CT., LAKE BARRINGTON, IL, 60010

Signature of
Role Plan administrator
Date 2015-06-10
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-06-10
Name of individual signing ELLEN CHAMPION
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
ANDREW M HALEY, 28160 W NORTHWEST HWY 203, LAKE BARRINGTON, 60010, LAKE Agent 2020-07-29

President

Name and Address Role
ANDREW HALEY 28160 W NORTHWESTHWY 203 LAKE BARRINGTON 60010 President

Secretary

Name and Address Role
EDWARD HALEY Secretary

Assumed Names

Name Type Effective Date Cancellation Date Cancellation Type Last Renewal Date
IBEW INS PLAN Assume Name 2024-11-18 No data No data No data
UNION ONE BENEFITS PYMT Assume Name 2024-11-18 No data No data No data
BLET INS PLAN Assume Name 2024-11-18 No data No data No data
UNIONHUB PYMT Assume Name 2023-12-18 No data No data No data
UNIONHUB CBM Assume Name 2023-01-30 No data No data No data
CORNERSTONE BENEFITS MANAGEMENT Assume Name 2018-04-09 No data No data No data

Historical Names

Name Change Date
CORNERSTONE ASSURANCE GROUP INC. 2023-12-18

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMMON No data Voting Rights 7500 6000000 No data

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 20 Jan 2025

Sources: Illinois Office of the Secretary of State

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