|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE LLC 401(K) PLAN
|
2023
|
203607887
|
2024-06-18
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8607387512
|
| Plan sponsor’s
address |
301 ALBANY TURNPIKE, CANTON, CT, 06019
|
|
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE LLC 401(K) PLAN
|
2022
|
203607887
|
2023-05-15
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8607387512
|
| Plan sponsor’s
address |
301 ALBANY TURNPIKE, CANTON, CT, 06019
|
|
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC 401(K) PLAN
|
2013
|
203607887
|
2014-09-26
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8607389512
|
| Plan sponsor’s
address |
P.O. BOX 670, NEW HARTFORD, CT, 06057
|
Signature of
| Role |
Plan administrator |
| Date |
2014-09-26 |
| Name of individual signing |
EDWARD CHICOSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC 401(K) PLAN
|
2012
|
203607887
|
2013-09-26
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8607389512
|
| Plan sponsor’s
address |
P.O. BOX 670, NEW HARTFORD, CT, 06057
|
Plan administrator’s name and address
| Administrator’s EIN |
203607887 |
| Plan administrator’s name |
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC |
| Plan administrator’s
address |
P.O. BOX 670, NEW HARTFORD, CT, 06057 |
| Administrator’s telephone number |
8607389512 |
Signature of
| Role |
Plan administrator |
| Date |
2013-09-26 |
| Name of individual signing |
EDWARD CHICOSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC 401(K) PLAN
|
2011
|
203607887
|
2012-07-17
|
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8607389512
|
| Plan sponsor’s
address |
P.O. BOX 670, NEW HARTFORD, CT, 06057
|
Plan administrator’s name and address
| Administrator’s EIN |
203607887 |
| Plan administrator’s name |
LAKESHORE BENEFIT GROUP INSURANCE BROKERAGE, LLC |
| Plan administrator’s
address |
P.O. BOX 670, NEW HARTFORD, CT, 06057 |
| Administrator’s telephone number |
8607389512 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-17 |
| Name of individual signing |
EDWARD CHICOSKI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
