THE 401(K)/PROFIT SHARING PLAN FOR THE EMPLOYEES OF THE DAVID AGENCY, INC.
|
2012
|
363051455
|
2013-06-04
|
THE DAVID AGENCY INSURANCE, INC.
|
42
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
6305169000
|
Plan sponsor’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
DAVID D MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-04 |
Name of individual signing |
DAVID D MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE 401(K) PROFIT SHARING PLAN FOR THE EMPLOYEES OF THE DAVID AGENCY, INC.
|
2011
|
363051455
|
2012-07-30
|
THE DAVID AGENCY INSURANCE, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
6305925378
|
Plan sponsor’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343
|
Plan administrator’s name and address
Administrator’s EIN |
363051455 |
Plan administrator’s name |
THE DAVID AGENCY INSURANCE, INC. |
Plan administrator’s
address |
385 NORTH YORK ROAD, ELMHURST, IL, 601262343 |
Administrator’s telephone number |
6305925378 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
DAVID D MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE 401(K) PROFIT SHARING PLAN FOR THE EMPLOYEES OF THE DAVID AGENCY, INC.
|
2010
|
363051455
|
2011-08-01
|
THE DAVID AGENCY INSURANCE, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
6305925378
|
Plan sponsor’s
address |
385 NORTH YORK ROAD, ELMHURST, IL, 601262343
|
Plan administrator’s name and address
Administrator’s EIN |
363051455 |
Plan administrator’s name |
THE DAVID AGENCY INSURANCE, INC. |
Plan administrator’s
address |
385 NORTH YORK ROAD, ELMHURST, IL, 601262343 |
Administrator’s telephone number |
6305925378 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
DAVID D MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE 401(K)/PROFIT SHARING PLAN FOR THE EMPLOYEES OF THE DAVID AGENCY, INC.
|
2009
|
363051455
|
2010-07-19
|
THE DAVID AGENCY INSURANCE, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
6305169000
|
Plan sponsor’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343
|
Plan administrator’s name and address
Administrator’s EIN |
363051455 |
Plan administrator’s name |
THE DAVID AGENCY INSURANCE, INC. |
Plan administrator’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343 |
Administrator’s telephone number |
6305169000 |
Signature of
Role |
Plan administrator |
Date |
2010-07-19 |
Name of individual signing |
DAVID MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THE 401(K)/PROFIT SHARING PLAN FOR THE EMPLOYEES OF THE DAVID AGENCY, INC.
|
2009
|
363051455
|
2010-07-19
|
THE DAVID AGENCY INSURANCE, INC.
|
38
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-07-01
|
Business code |
812990
|
Sponsor’s telephone number |
6305169000
|
Plan sponsor’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343
|
Plan administrator’s name and address
Administrator’s EIN |
363051455 |
Plan administrator’s name |
THE DAVID AGENCY INSURANCE, INC. |
Plan administrator’s
address |
385 N. YORK ROAD, ELMHURST, IL, 601262343 |
Administrator’s telephone number |
6305169000 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-19 |
Name of individual signing |
DAVID MEILAHN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|