Defined Benefit Request for information - GCIU Employer Retirement Fund

SSN :
047-52-8418   Date:  8/7/2019
Last Name:
Michaels   First Name :   Lynne Middle Initial: 
Mailing Address : 15 Linden Lane
City :
Sweet Valley   State :   Pennsylvania   Zip Code :   18656
Contact Phone :
363-363-1363   Work Phone :   363-363-1363
Date of Birth :
08/31/1956   Email ID :   [email protected]
Sex :
Female   Marital Status :   Married
Will this information be used for divorce purposes:  No
Spouse's Name:
Peter Michaels   Spouse's Date of Birth :   06/29/1957 Date of Marriage :   04/24/1997

Are you currently Employed:
Yes   Local Union :   Local 137C
Employer Name :(Present or Most Recent Covered Employer) Offset Paperback  
Date of Hire :
10/15/1980   Date of Termination :  
Previous Employer :
Date of Hire :
  Date of Termination :  

Have you ever been disabled:
No   From Date :     To Date :      
Are you receiving Social Security Disability Benefits ? No         Entitlement Date :

I am requesting an Estimate of Benefits for Retirement at Age(s) :   63
I am requesting an Estimate of Death Benefits:  No 

Have you previously requested pension information : Yes                Year :   2019