CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2016
|
362357013
|
2017-06-14
|
HERMAN'S INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2015
|
362357013
|
2016-05-24
|
HERMAN'S INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 46TH AVE, ROCK ISLAND, IL, 612016948
|
Plan sponsor’s
address |
2820 46TH AVE, ROCK ISLAND, IL, 612016948
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-05-24 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-05-24 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 124 FRINGE SECTION 6039D
|
2014
|
362357013
|
2015-04-24
|
HERMAN'S INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-04-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-04-24 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-24 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2013
|
362357013
|
2014-07-16
|
HERMAN'S INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-04-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2012
|
362357013
|
2013-06-07
|
HERMAN'S INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-04-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-06-07 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2011
|
362357013
|
2012-06-11
|
HERMAN'S INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-04-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan administrator’s name and address
Administrator’s EIN |
362357013 |
Plan administrator’s name |
HERMAN'S INC. |
Plan administrator’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201 |
Administrator’s telephone number |
3097889568 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CAFETERIA SECTION 125 FRINGE SECTION 6039D
|
2010
|
362357013
|
2012-06-11
|
HERMAN'S INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-04-01
|
Business code |
424300
|
Sponsor’s telephone number |
3097889568
|
Plan sponsor’s mailing address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan sponsor’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201
|
Plan administrator’s name and address
Administrator’s EIN |
362357013 |
Plan administrator’s name |
HERMAN'S INC. |
Plan administrator’s
address |
2820 BLACKHAWK ROAD, ROCK ISLAND, IL, 61201 |
Administrator’s telephone number |
3097889568 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-06-11 |
Name of individual signing |
DONN STROUD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|