STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2022
|
463609050
|
2024-09-18
|
STEAMBOAT SELECT INSURANCE GROUP
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
P.O. BOX 775124, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80487
|
Signature of
Role |
Plan administrator |
Date |
2024-09-18 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2021
|
463609050
|
2023-03-09
|
STEAMBOAT SELECT INSURANCE GROUP
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
PO BOX 773556, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80477
|
Signature of
Role |
Plan administrator |
Date |
2023-03-09 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2020
|
463609050
|
2021-06-30
|
STEAMBOAT SELECT INSURANCE GROUP
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
PO BOX 773556, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80477
|
Signature of
Role |
Plan administrator |
Date |
2021-06-30 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2019
|
463609050
|
2020-06-24
|
STEAMBOAT SELECT INSURANCE GROUP
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
PO BOX 773556, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80477
|
Signature of
Role |
Plan administrator |
Date |
2020-06-24 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2018
|
463609050
|
2019-06-26
|
STEAMBOAT SELECT INSURANCE GROUP
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
PO BOX 773556, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80477
|
Signature of
Role |
Plan administrator |
Date |
2019-06-26 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2017
|
463609050
|
2018-07-09
|
STEAMBOAT SELECT INSURANCE GROUP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
PO BOX 775124, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80477
|
Signature of
Role |
Plan administrator |
Date |
2018-07-09 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2016
|
463609050
|
2017-07-31
|
STEAMBOAT SELECT INSURANCE GROUP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
P.O. BOX 775124, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80487
|
Signature of
Role |
Plan administrator |
Date |
2017-07-31 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2015
|
463609050
|
2016-07-14
|
STEAMBOAT SELECT INSURANCE GROUP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
P.O. BOX 775124, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80487
|
Signature of
Role |
Plan administrator |
Date |
2016-07-14 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STEAMBOAT SELECT INSURANCE GROUP RETIREMENT TRUST
|
2014
|
463609050
|
2015-06-18
|
STEAMBOAT SELECT INSURANCE GROUP
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-08-01
|
Business code |
541600
|
Sponsor’s telephone number |
9708791363
|
Plan sponsor’s
address |
P.O. BOX 775124, 405 SOUTH LINCOLN AVE, STEAMBOAT SPRINGS, CO, 80487
|
Signature of
Role |
Plan administrator |
Date |
2015-06-18 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-18 |
Name of individual signing |
TODD HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|