| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
453990
|
| Sponsor’s telephone number |
6308833323
|
| Plan sponsor’s
address |
353 S COLLINS STREET, SOUTH ELGIN, IL, 60177
|
Plan administrator’s name and address
| Administrator’s EIN |
362838243 |
| Plan administrator’s name |
PAYLINE WEST, INC |
| Plan administrator’s
address |
353 S COLLINS STREET, SOUTH ELGIN, IL, 60177 |
| Administrator’s telephone number |
6308833323 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-09 |
| Name of individual signing |
JOHN ALLEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-09 |
| Name of individual signing |
JAMES PAYNE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
