2834 N. SOUTHPORT, LLC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

UEBELE INSURANCE AGENCY, INC. SALARY DEFERRAL & PROFIT SHARING PLAN

2011

362900165

2012-10-15

UEBELE INSURANCE AGENCY, INC.

Plan administrator’s name and address

Administrator’s EIN	362900165
Plan administrator’s name	UEBELE INSURANCE AGENCY, INC.
Plan administrator’s address	4410 W. ROOSEVELT ROAD, HILLSIDE, IL, 60162
Administrator’s telephone number	7087762200

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	DAVID GRIFFIN
Valid signature	Filed with authorized/valid electronic signature

UEBELE INSURANCE AGENCY, INC. SALARY DEFERRAL & PROFIT SHARING PLAN

2010

362900165

2011-10-16

UEBELE INSURANCE AGENCY, INC.

Plan administrator’s name and address

Administrator’s EIN	362900165
Plan administrator’s name	UEBELE INSURANCE AGENCY, INC.
Plan administrator’s address	4410 W. ROOSEVELT ROAD, HILLSIDE, IL, 60162
Administrator’s telephone number	7087762200

Signature of

Role	Plan administrator
Date	2011-10-16
Name of individual signing	DAVID GRIFFIN
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
SANDRA IANTONI, 858 W ARMITAGE AVENUE, STE 413, CHICAGO, 60614	Agent	2009-10-14

Name and Address	Role	Appointment Date
IANTONI VENTURES INC 6300-9164, 1953 N CLYBOURN, #413, CHICAGO, IL, 60614	Manager	2014-01-09

Date of last update: 23 Jan 2025