Defined Benefit Request for information - GCIU Employer Retirement Fund

SSN :
311-68-3419   Date:  10/1/2020
Last Name:
Huggins   First Name :   Mike Middle Initial:  T
Mailing Address : 8900 N CR 416 E
City :
ALBANY   State :   Indiana   Zip Code :   47320
Contact Phone :
765-282-3670   Work Phone :   202-257-2282
Date of Birth :
7/30/1957   Email ID :   [email protected]
Sex :
Male   Marital Status :   Married
Will this information be used for divorce purposes:  No
Spouse's Name:
Natalie   Spouse's Date of Birth :   4/4/1957 Date of Marriage :   11/26/1987

Are you currently Employed:
Yes   Local Union :   GCCIBT 17-M
Employer Name :(Present or Most Recent Covered Employer) Graphic Communications Conf. IBT  
Date of Hire :
03/DD/2003   Date of Termination :  
Previous Employer : GCIU Local 17-M
Date of Hire :
07/15/1988   Date of Termination :   03/DD/2003

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 based on the elected retirement date of:  1/1/2021  
I am requesting an Estimate of Death Benefits:  No 

Have you previously requested pension information : Yes                Year :   2020