|
HNV LAKEVIEW, LLC DBA PURE BARRE LAKEVIEW 401(K) PROFIT SHARING PLAN & TRUST
|
2019
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461989366
|
2020-07-20
|
HNV LAKEVIEW, LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
6153199023
|
| Plan sponsor’s
address |
4737 N SACRAMENTO AVE, CHICAGO, IL, 60625
|
Plan administrator’s name and address
| Administrator’s EIN |
461989366 |
| Plan administrator’s name |
HNV LAKEVIEW, LLC |
| Plan administrator’s
address |
4737 N SACRAMENTO AVE, CHICAGO, IL, 60625 |
| Administrator’s telephone number |
6153199023 |
Signature of
| Role |
Plan administrator |
| Date |
2020-07-20 |
| Name of individual signing |
GREGORY M. ALLOIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HNV LAKEVIEW, LLC DBA PURE BARRE LAKEVIEW 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
461989366
|
2018-09-07
|
HNV LAKEVIEW, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
7732811221
|
| Plan sponsor’s
address |
3245 NORTH ASHLAND AVENUE UNIT 1, CHICAGO, IL, 60657
|
Plan administrator’s name and address
| Administrator’s EIN |
461989366 |
| Plan administrator’s name |
HNV LAKEVIEW, LLC |
| Plan administrator’s
address |
3245 NORTH ASHLAND AVENUE UNIT 1, CHICAGO, IL, 60657 |
| Administrator’s telephone number |
7732811221 |
Signature of
| Role |
Plan administrator |
| Date |
2018-09-07 |
| Name of individual signing |
GREGORY M ALLOIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HNV LAKEVIEW, LLC DBA PURE BARRE LAKEVIEW 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
461989366
|
2017-09-15
|
HNV LAKEVIEW, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2014-01-01
|
| Business code |
713900
|
| Sponsor’s telephone number |
7732811221
|
| Plan sponsor’s
address |
3245 NORTH ASHLAND AVENUE UNIT 1, CHICAGO, IL, 60657
|
Plan administrator’s name and address
| Administrator’s EIN |
461989366 |
| Plan administrator’s name |
HNV LAKEVIEW, LLC |
| Plan administrator’s
address |
3245 NORTH ASHLAND AVENUE UNIT 1, CHICAGO, IL, 60657 |
| Administrator’s telephone number |
7732811221 |
Signature of
| Role |
Plan administrator |
| Date |
2017-09-15 |
| Name of individual signing |
GREGORY M ALLOIAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
