PGIA, INC. 401(K) PLAN
|
2012
|
362943973
|
2013-07-26
|
PACIFIC GENERAL INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6305150090
|
Plan sponsor’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-26 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PGIA, INC. 401(K) PLAN
|
2011
|
362943973
|
2012-10-12
|
PACIFIC GENERAL INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6305150090
|
Plan sponsor’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
362943973 |
Plan administrator’s name |
PACIFIC GENERAL INSURANCE AGENCY, INC. |
Plan administrator’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6305150090 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-12 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PGIA, INC. 401(K) PLAN
|
2010
|
362943973
|
2011-10-04
|
PACIFIC GENERAL INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6305150090
|
Plan sponsor’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
362943973 |
Plan administrator’s name |
PACIFIC GENERAL INSURANCE AGENCY, INC. |
Plan administrator’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6305150090 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
DAVID WIERENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-04 |
Name of individual signing |
DAVID WIERENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PGIA, INC. 401(K) PLAN
|
2010
|
362943973
|
2011-07-29
|
PACIFIC GENERAL INSURANCE AGENCY, INC.
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6305150090
|
Plan sponsor’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
362943973 |
Plan administrator’s name |
PACIFIC GENERAL INSURANCE AGENCY, INC. |
Plan administrator’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6305150090 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-29 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PGIA, INC. 401(K) PLAN
|
2009
|
362943973
|
2010-07-26
|
PACIFIC GENERAL INSURANCE AGENCY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
6305150090
|
Plan sponsor’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515
|
Plan administrator’s name and address
Administrator’s EIN |
362943973 |
Plan administrator’s name |
PACIFIC GENERAL INSURANCE AGENCY, INC. |
Plan administrator’s
address |
5337 MAIN STREET, DOWNERS GROVE, IL, 60515 |
Administrator’s telephone number |
6305150090 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-26 |
Name of individual signing |
DAVID WIERINGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|