TEGELER INS. SVCS. LLC 401K PLAN
|
2016
|
061513942
|
2017-06-27
|
TEGELER INSURANCE SERVICES, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE COR STE 201, SOUTHBURY, CT, 064882265
|
Signature of
Role |
Plan administrator |
Date |
2017-06-27 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-27 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURANCE SERVICES, LLC 401K PLAN
|
2015
|
061513942
|
2016-07-25
|
TEGELER INSURANCE SERVICES, LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 06488
|
Signature of
Role |
Plan administrator |
Date |
2016-07-25 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-25 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURANCE SERVICES LLC 401K PLAN
|
2014
|
061513942
|
2015-07-21
|
TEGELER INSURANCE SERVICES LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265
|
Signature of
Role |
Plan administrator |
Date |
2015-07-21 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-21 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURNCE SERVICES LLC 401K PLAN
|
2012
|
061513942
|
2013-07-17
|
TEGELER INSURANCE SERVICES LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265
|
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURANCE SERVICES LLC 401K PLAN
|
2011
|
061513942
|
2012-06-22
|
TEGELER INSURANCE SERVICES, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265
|
Plan administrator’s name and address
Administrator’s EIN |
061513942 |
Plan administrator’s name |
TEGELER INSURANCE SERVICES, LLC |
Plan administrator’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265 |
Administrator’s telephone number |
2032649197 |
Signature of
Role |
Plan administrator |
Date |
2012-06-21 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURANCE SERVICES, LLC 401K PLAN
|
2010
|
061513942
|
2011-07-19
|
TEGELER INSURANCE SERVICES, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265
|
Plan administrator’s name and address
Administrator’s EIN |
061513942 |
Plan administrator’s name |
TEGELER INSURANCE SERVICES, LLC |
Plan administrator’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265 |
Administrator’s telephone number |
2032649197 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TEGELER INSURANCE SERVICES, LLC 401K PLAN
|
2009
|
061513942
|
2010-05-18
|
TEGELER INSURANCE SERVICES, LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
2032649197
|
Plan sponsor’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265
|
Plan administrator’s name and address
Administrator’s EIN |
061513942 |
Plan administrator’s name |
TEGELER INSURANCE SERVICES, LLC |
Plan administrator’s
address |
201 PLAYHOUSE CORNER, SOUTHBURY, CT, 064882265 |
Administrator’s telephone number |
2032649197 |
Signature of
Role |
Plan administrator |
Date |
2010-05-18 |
Name of individual signing |
WILLIAM TEGELER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|