OBERG INSURANCE AGENCY, INC. RETIREMENT TRUST
|
2023
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061618769
|
2024-08-15
|
OBERG INSURANCE AGENCY, INC.
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2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2024-08-15 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY, INC. RETIREMENT TRUST
|
2022
|
061618769
|
2023-07-07
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2021
|
061618769
|
2022-07-26
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2022-07-26 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2020
|
061618769
|
2021-07-27
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2021-07-27 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2019
|
061618769
|
2020-07-20
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2020-07-20 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2018
|
061618769
|
2019-07-17
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2019-07-17 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2017
|
061618769
|
2018-09-19
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST, NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2018-09-19 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2016
|
061618769
|
2017-09-06
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST., NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2017-09-06 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2015
|
061618769
|
2016-10-13
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST., NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
OBERG INSURANCE AGENCY INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OBERG INSURANCE AGENCY INC RETIREMENT TRUST
|
2014
|
061618769
|
2015-10-07
|
OBERG INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-03-01
|
Business code |
541600
|
Sponsor’s telephone number |
2034266006
|
Plan sponsor’s
address |
33 MAIN ST., NEWTOWN, CT, 06470
|
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-07 |
Name of individual signing |
RANDALL OBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|