| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1989-02-11
|
| Business code |
812112
|
| Sponsor’s telephone number |
8159655994
|
| Plan sponsor’s
address |
2203 CUMBERLAND ST, ROCKFORD, IL, 61103
|
Plan administrator’s name and address
| Administrator’s EIN |
363026211 |
| Plan administrator’s name |
PALMA A DALE |
| Plan administrator’s
address |
5021 BROWNS BEADH RD, ROCKFORD, IL, 61103 |
| Administrator’s telephone number |
8159655994 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-17 |
| Name of individual signing |
VIKKI FRANKLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-17 |
| Name of individual signing |
PALMA DALE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
