NORTHWEST INSURANCE NETWORK, INC.
|
2011
|
364031171
|
2012-06-30
|
NORTHWEST INSURANCE NETWORK, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3124271777
|
Plan sponsor’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106
|
Plan administrator’s name and address
Administrator’s EIN |
364031171 |
Plan administrator’s name |
NORTHWEST INSURANCE NETWORK, INC. |
Plan administrator’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106 |
Administrator’s telephone number |
3124271777 |
Signature of
Role |
Plan administrator |
Date |
2012-06-30 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-30 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST INSURANCE NETWORK, INC.
|
2010
|
364031171
|
2011-03-29
|
NORTHWEST INSURANCE NETWORK, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3124271777
|
Plan sponsor’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106
|
Plan administrator’s name and address
Administrator’s EIN |
364031171 |
Plan administrator’s name |
NORTHWEST INSURANCE NETWORK, INC. |
Plan administrator’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106 |
Administrator’s telephone number |
3124271777 |
Signature of
Role |
Plan administrator |
Date |
2011-03-29 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-03-29 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST INSURANCE NETWORK, INC.
|
2009
|
364031171
|
2010-08-03
|
NORTHWEST INSURANCE NETWORK, INC.
|
47
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3124271777
|
Plan sponsor’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106
|
Plan administrator’s name and address
Administrator’s EIN |
364031171 |
Plan administrator’s name |
NORTHWEST INSURANCE NETWORK, INC. |
Plan administrator’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106 |
Administrator’s telephone number |
3124271777 |
Signature of
Role |
Plan administrator |
Date |
2010-08-03 |
Name of individual signing |
BONNIEANN KRYSTOF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-03 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST INSURANCE NETWORK, INC.
|
2009
|
364031171
|
2010-08-12
|
NORTHWEST INSURANCE NETWORK, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3124271777
|
Plan sponsor’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106
|
Plan administrator’s name and address
Administrator’s EIN |
364031171 |
Plan administrator’s name |
NORTHWEST INSURANCE NETWORK, INC. |
Plan administrator’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106 |
Administrator’s telephone number |
3124271777 |
Signature of
Role |
Plan administrator |
Date |
2010-08-12 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-12 |
Name of individual signing |
MARTIN JOSEPH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NORTHWEST INSURANCE NETWORK, INC.
|
2009
|
364031171
|
2010-07-23
|
NORTHWEST INSURANCE NETWORK, INC.
|
47
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3124271777
|
Plan sponsor’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106
|
Plan administrator’s name and address
Administrator’s EIN |
364031171 |
Plan administrator’s name |
NORTHWEST INSURANCE NETWORK, INC. |
Plan administrator’s
address |
330 S WELLS ST, CHICAGO, IL, 606067106 |
Administrator’s telephone number |
3124271777 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
BONNIEANN KRYSTOF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
BONNIEANN KRYSTOF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|