BLUEDOG DESIGN RETIREMENT TRUST
|
2016
|
260432637
|
2017-07-19
|
BLUEDOG DESIGN, LLC
|
47
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2017-07-19 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2016
|
260432637
|
2017-07-24
|
BLUEDOG DESIGN, LLC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2017-07-24 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2015
|
260432637
|
2016-07-15
|
BLUEDOG DESIGN, LLC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-12-01
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2014
|
260432637
|
2015-07-14
|
BLUEDOG DESIGN, LLC
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-10
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2015-07-14 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-14 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2013
|
260432637
|
2014-07-21
|
BLUEDOG DESIGN, LLC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-10
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2014-07-21 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-21 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2012
|
260432637
|
2013-07-24
|
BLUEDOG DESIGN, LLC
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-10
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Signature of
Role |
Plan administrator |
Date |
2013-07-24 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-24 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2011
|
260432637
|
2012-07-24
|
BLUEDOG DESIGN, LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-10
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642
|
Plan administrator’s name and address
Administrator’s EIN |
260432637 |
Plan administrator’s name |
BLUEDOG DESIGN, LLC |
Plan administrator’s
address |
403 N. CARPENTER ST., CHICAGO, IL, 60642 |
Administrator’s telephone number |
3122431101 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-24 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2010
|
260432637
|
2011-07-22
|
BLUEDOG DESIGN, LLC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-03-10
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
312 N. MAY ST., #5G, CHICAGO, IL, 60607
|
Plan administrator’s name and address
Administrator’s EIN |
260432637 |
Plan administrator’s name |
BLUEDOG DESIGN, LLC |
Plan administrator’s
address |
312 N. MAY ST., #5G, CHICAGO, IL, 60607 |
Administrator’s telephone number |
3122431101 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLUEDOG DESIGN RETIREMENT TRUST
|
2009
|
260432637
|
2010-07-01
|
BLUEDOG DESIGN, LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541400
|
Sponsor’s telephone number |
3122431101
|
Plan sponsor’s
address |
312 N. MAY ST., #5G, CHICAGO, IL, 60607
|
Plan administrator’s name and address
Administrator’s EIN |
260432637 |
Plan administrator’s name |
BLUEDOG DESIGN, LLC |
Plan administrator’s
address |
312 N. MAY ST., #5G, CHICAGO, IL, 60607 |
Administrator’s telephone number |
3122431101 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-01 |
Name of individual signing |
MICHELLE HAYWARD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|