KLINGBERG FAMILY CENTERS, INC. WELFARE BENEFIT PLAN
|
2019
|
060688316
|
2021-01-31
|
KLINGBERG FAMILY CENTERS, INC.
|
228
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan
sponsor’s DBA name |
KLINGBERG FAMILY CENTERS, INC.
|
Plan sponsor’s mailing address |
KLINGBERG FAMILY CENTER, 370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Plan sponsor’s
address |
KLINGBERG FAMILY CENTER, 370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-01-31 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-01-31 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS, INC WELFARE BENEFIT PLAN
|
2018
|
060688316
|
2020-01-30
|
KLINGBERG FAMILY CENTERS, INC.
|
324
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan sponsor’s mailing address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Plan sponsor’s
address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-01-30 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-30 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS,INC WELFARE BENEFIT PLAN
|
2017
|
060688316
|
2019-01-30
|
KLINGBERG FAMILY CENTERS, INC.
|
323
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan sponsor’s mailing address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Plan sponsor’s
address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-01-30 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-01-30 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS, INC. WELFARE BENEFIT PLAN
|
2016
|
060688316
|
2018-01-31
|
KLINGBERG FAMILY CENTERS, INC.
|
372
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan sponsor’s mailing address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Plan sponsor’s
address |
370 LINWOOD ST, NEW BRITAIN, CT, 060521949
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-01-31 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-01-31 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS, INC. WELFARE BENEFIT PLAN
|
2012
|
060688316
|
2013-12-04
|
KLINGBERG FAMILY CENTERS, INC.
|
196
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan sponsor’s mailing address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan sponsor’s
address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan administrator’s name and address
Administrator’s EIN |
060688316 |
Plan administrator’s name |
SUSAN D WENTZELL |
Administrator’s telephone number |
8608325546 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-12-04 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-12-04 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS, INC. WELFARE BENEFIT PLAN
|
2011
|
060688316
|
2012-11-21
|
KLINGBERG FAMILY CENTERS, INC.
|
217
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Plan sponsor’s mailing address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan sponsor’s
address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan administrator’s name and address
Administrator’s EIN |
060688316 |
Plan administrator’s name |
KLINGBERG FAMILY CENTERS, INC. |
Plan administrator’s
address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-11-21 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KLINGBERG FAMILY CENTERS, INC. WELFARE BENFIT PLAN
|
2010
|
060688316
|
2012-02-02
|
KLINGBERG FAMILY CENTERS, INC
|
210
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
2000-07-01
|
Business code |
624100
|
Sponsor’s telephone number |
8608325546
|
Plan sponsor’s mailing address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan sponsor’s
address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052
|
Plan administrator’s name and address
Administrator’s EIN |
060688316 |
Plan administrator’s name |
KLINGBERG FAMILY CENTERS, INC |
Plan administrator’s
address |
370 LINWOOD STREET, NEW BRITAIN, CT, 06052 |
Administrator’s telephone number |
8608325546 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-02-02 |
Name of individual signing |
SUSAN WENTZELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|