TAX DEFERRED ANNUITY PLAN OF UNITED WAY OF LAKE COUNTY, INC.
|
2012
|
362167949
|
2013-06-19
|
UNITED WAY OF LAKE COUNTY, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031
|
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
RITA D. ZALUZEC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-19 |
Name of individual signing |
RITA D. ZALUZEC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF UNITED WAY OF LAKE COUNTY, INC.
|
2011
|
362167949
|
2012-06-12
|
UNITED WAY OF LAKE COUNTY, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY, INC. |
Plan administrator’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
RITA ZALUZEC |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF UNITED WAY OF LAKE COUNTY, INC.
|
2011
|
362167949
|
2012-06-12
|
UNITED WAY OF LAKE COUNTY, INC.
|
28
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY, INC. |
Plan administrator’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-12 |
Name of individual signing |
RITA ZALUZEC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN OF UNITED WAY OF LAKE COUNTY, INC.
|
2011
|
362167949
|
2012-06-11
|
UNITED WAY OF LAKE COUNTY, INC.
|
28
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY, INC. |
Plan administrator’s
address |
330 S GREENLEAF ST, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
RITA ZALUZEC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-11 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF UNITED WAY OF LAKE COUNTY
|
2011
|
362167949
|
2012-06-11
|
UNITED WAY OF LAKE COUNTY
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF UNITED WAY OF LAKE COUNTY
|
2010
|
362167949
|
2011-06-01
|
UNITED WAY OF LAKE COUNTY
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan
sponsor’s DBA name |
UNITED WAY OF LAKE COUNTY
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN
|
2010
|
362167949
|
2011-10-17
|
UNITED WAY OF LAKE COUNTY
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN
|
2010
|
362167947
|
2011-06-01
|
UNITED WAY OF LAKE COUNTY
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167947 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFITS PLAN OF UNITED WAY OF LAKE COUNTY
|
2009
|
362167949
|
2010-05-13
|
UNITED WAY OF LAKE COUNTY
|
38
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1975-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan
sponsor’s DBA name |
UNITED WAY OF LAKE COUNTY
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 600313389
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 600313389 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-05-13 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TAX DEFERRED ANNUITY PLAN
|
2009
|
362167949
|
2010-06-14
|
UNITED WAY OF LAKE COUNTY
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1977-08-01
|
Business code |
813000
|
Sponsor’s telephone number |
8477751000
|
Plan
sponsor’s DBA name |
UNITED WAY OF LAKE COUNTY
|
Plan sponsor’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
362167949 |
Plan administrator’s name |
UNITED WAY OF LAKE COUNTY |
Plan administrator’s
address |
330 SOUTH GREENLEAF STREET, GURNEE, IL, 60031 |
Administrator’s telephone number |
8477751000 |
Signature of
Role |
Plan administrator |
Date |
2010-06-14 |
Name of individual signing |
KRISTI LONG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|