|
THEISEN ROOFING & SIDING CO., INC.
|
2012
|
362962903
|
2013-07-08
|
THEISEN ROOFING & SIDING CO., INC.
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
238100
|
| Sponsor’s telephone number |
8157588998
|
| Plan sponsor’s
address |
1122 PLEASANT ST, DEKALB, IL, 60115
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-08 |
| Name of individual signing |
JEFFREY A THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-08 |
| Name of individual signing |
JEFFREY A THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THEISEN ROOFING & SIDING CO., INC.
|
2011
|
362962903
|
2012-06-21
|
THEISEN ROOFING & SIDING CO., INC.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
238100
|
| Sponsor’s telephone number |
8157588998
|
| Plan sponsor’s
address |
1122 PLEASANT ST, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362962903 |
| Plan administrator’s name |
THEISEN ROOFING & SIDING CO., INC. |
| Plan administrator’s
address |
1122 PLEASANT ST, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157588998 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-21 |
| Name of individual signing |
JEFFREY A THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-21 |
| Name of individual signing |
JEFFREY A THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THEISEN ROOFING & SIDING CO., INC.
|
2010
|
362962903
|
2011-07-21
|
THEISEN ROOFING & SIDING CO., INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
238100
|
| Sponsor’s telephone number |
8157588998
|
| Plan sponsor’s
address |
1122 PLEASANT STREET, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362962903 |
| Plan administrator’s name |
THEISEN ROOFING & SIDING CO., INC. |
| Plan administrator’s
address |
1122 PLEASANT STREET, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157588998 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-21 |
| Name of individual signing |
JEFFREY THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-21 |
| Name of individual signing |
JEFFREY THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
THEISEN ROOFING & SIDING CO., INC.
|
2009
|
362962903
|
2010-07-15
|
THEISEN ROOFING & SIDING CO., INC.
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
238100
|
| Sponsor’s telephone number |
8157588998
|
| Plan sponsor’s
address |
1122 PLEASANT STREET, DEKALB, IL, 60115
|
Plan administrator’s name and address
| Administrator’s EIN |
362962903 |
| Plan administrator’s name |
THEISEN ROOFING & SIDING CO., INC. |
| Plan administrator’s
address |
1122 PLEASANT STREET, DEKALB, IL, 60115 |
| Administrator’s telephone number |
8157588998 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-15 |
| Name of individual signing |
JEFFREY A. THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-15 |
| Name of individual signing |
JEFFREY A. THEISEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
