DRUM PARTS MIDWEST, INC.

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

FORM GRAPHICS, INC. 401(K) PLAN

2011

362729155

2015-06-25

FORM GRAPHICS, INC.

Plan administrator’s name and address

Administrator’s EIN	362729155
Plan administrator’s name	FORM GRAPHICS, INC.
Plan administrator’s address	516 NO. MALDEN, LAGRANGE PARK, IL, 60526
Administrator’s telephone number	6302353726

Signature of

Role	Plan administrator
Date	2015-06-23
Name of individual signing	JIM KEEFER
Valid signature	Filed with authorized/valid electronic signature

FORM GRAPHICS, INC. 401(K) PLAN

2011

362729155

2015-06-25

FORM GRAPHICS, INC.

Plan administrator’s name and address

Administrator’s EIN	362729155
Plan administrator’s name	FORM GRAPHICS, INC.
Plan administrator’s address	516 NO. MALDEN, LAGRANGE PARK, IL, 60526
Administrator’s telephone number	6302353726

Signature of

Role	Plan administrator
Date	2015-06-23
Name of individual signing	JIM KEEFER
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role
C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO	Agent

Name and Address	Role
FRANK BLASKO, 14601 INDUSTRIAL PARKWAY CLEVELAND OHIO	President

Date of last update: 16 Jan 2025