|
LG LANDSCAPING SERVICES, LLC WELFARE BENEFIT PLAN
|
2009
|
200849711
|
2010-11-03
|
LG LANDSCAPING SERVICES, LLC
|
3
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-05-01
|
| Business code |
541320
|
| Sponsor’s telephone number |
8608680486
|
| Plan sponsor’s mailing address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
| Plan sponsor’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
Plan administrator’s name and address
| Administrator’s EIN |
200849711 |
| Plan administrator’s name |
LUIS GUTIERREZ |
| Plan administrator’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793 |
| Administrator’s telephone number |
8608680486 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-03 |
| Name of individual signing |
DIANA GUTIERREZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
LG LANDSCAPING SERVICES, LLC WELFARE BENEFIT PLAN
|
2009
|
200849711
|
2010-11-09
|
LG LANDSCAPING SERVICES, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-05-01
|
| Business code |
541320
|
| Sponsor’s telephone number |
8608680486
|
| Plan sponsor’s mailing address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
| Plan sponsor’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
Plan administrator’s name and address
| Administrator’s EIN |
200849711 |
| Plan administrator’s name |
LUIS GUTIERREZ |
| Plan administrator’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793 |
| Administrator’s telephone number |
8608680486 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-09 |
| Name of individual signing |
LUIS GUTIERREZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LG LANDSCAPING SERVICES, LLC WELFARE BENEFIT PLAN
|
2009
|
200849711
|
2010-11-09
|
LG LANDSCAPING SERVICES, LLC
|
3
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-05-01
|
| Business code |
541320
|
| Sponsor’s telephone number |
8608680486
|
| Plan sponsor’s mailing address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
| Plan sponsor’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
Plan administrator’s name and address
| Administrator’s EIN |
200849711 |
| Plan administrator’s name |
LUIS GUTIERREZ |
| Plan administrator’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793 |
| Administrator’s telephone number |
8608680486 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-09 |
| Name of individual signing |
DIANA GUTIERREZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
LG LANDSCAPING SERVICES, LLC WELFARE BENEFIT PLAN
|
2009
|
200849711
|
2010-11-09
|
LG LANDSCAPING SERVICES, LLC
|
3
|
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2009-05-01
|
| Business code |
541320
|
| Sponsor’s telephone number |
8608680486
|
| Plan sponsor’s mailing address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
| Plan sponsor’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793
|
Plan administrator’s name and address
| Administrator’s EIN |
200849711 |
| Plan administrator’s name |
LUIS GUTIERREZ |
| Plan administrator’s
address |
13 DARK ENTRY ROAD, WASHINGTON, CT, 06793 |
| Administrator’s telephone number |
8608680486 |
Number of participants as of the end of the plan year
| Active participants |
3 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-09 |
| Name of individual signing |
LUIS GUTIERREZ |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
