DOUGLAS INTERNATIONAL, INC. MONEY PURCHASE PLAN
|
2010
|
362697696
|
2012-01-26
|
DOUGLAS INTERNATIONAL, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL, INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Signature of
Role |
Plan administrator |
Date |
2012-01-26 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS INTERNATIONAL, INC. PROFIT SHARING PLAN
|
2010
|
362697696
|
2012-01-26
|
DOUGLAS INTERNATIONAL, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL, INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Signature of
Role |
Plan administrator |
Date |
2012-01-26 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS INTERNATIONAL, INC. MONEY PURCHASE PLAN
|
2010
|
362697696
|
2012-01-26
|
DOUGLAS INTERNATIONAL, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL, INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Signature of
Role |
Plan administrator |
Date |
2012-01-26 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS INTERNATIONAL, INC. PROFIT SHARING PLAN
|
2010
|
362697696
|
2012-01-26
|
DOUGLAS INTERNATIONAL, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL, INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Signature of
Role |
Plan administrator |
Date |
2012-01-26 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS INTERNATIONAL INC. MONEY PURCHASE PLAN
|
2009
|
362697696
|
2011-02-17
|
DOUGLAS INTERNATIONAL INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Signature of
Role |
Plan administrator |
Date |
2011-02-08 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOUGLAS INTERNATIONAL INC. PROFIT SHARING PLAN
|
2009
|
362697696
|
2011-02-17
|
DOUGLAS INTERNATIONAL, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1989-12-01
|
Business code |
421600
|
Sponsor’s telephone number |
6302327419
|
Plan sponsor’s mailing address |
P O BOX 761, GENEVA, IL, 60134
|
Plan sponsor’s
address |
P O BOX 761, GENEVA, IL, 60134
|
Plan administrator’s name and address
Administrator’s EIN |
362697696 |
Plan administrator’s name |
DOUGLAS INTERNATIONAL, INC. |
Plan administrator’s
address |
P O BOX 761, GENEVA, IL, 60134 |
Administrator’s telephone number |
6302327419 |
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-02-08 |
Name of individual signing |
ROBERT CHALBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|