WORKSAVER, INC. UNION 401(K) PLAN
|
2011
|
371081439
|
2012-01-24
|
WORKSAVER, INC.
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
551112
|
Sponsor’s telephone number |
2173245973
|
Plan sponsor’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100
|
Plan administrator’s name and address
Administrator’s EIN |
371081439 |
Plan administrator’s name |
WORKSAVER, INC. |
Plan administrator’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100 |
Administrator’s telephone number |
2173245973 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
WORKSAVER, INC. UNION 401(K) PLAN
|
2011
|
371081439
|
2012-01-24
|
WORKSAVER, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
551112
|
Sponsor’s telephone number |
2173245973
|
Plan sponsor’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100
|
Plan administrator’s name and address
Administrator’s EIN |
371081439 |
Plan administrator’s name |
WORKSAVER, INC. |
Plan administrator’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100 |
Administrator’s telephone number |
2173245973 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
JAMIE WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
JAMIE WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WORKSAVER, INC. UNION 401(K) PLAN
|
2010
|
371081439
|
2011-06-28
|
WORKSAVER, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
551112
|
Sponsor’s telephone number |
2173245973
|
Plan sponsor’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100
|
Plan administrator’s name and address
Administrator’s EIN |
371081439 |
Plan administrator’s name |
WORKSAVER, INC. |
Plan administrator’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100 |
Administrator’s telephone number |
2173245973 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-28 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WORKSAVER, INC. UNION 401(K) PLAN
|
2009
|
371081439
|
2010-04-20
|
WORKSAVER, INC.
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
551112
|
Sponsor’s telephone number |
2173245973
|
Plan sponsor’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100
|
Plan administrator’s name and address
Administrator’s EIN |
371081439 |
Plan administrator’s name |
WORKSAVER, INC. |
Plan administrator’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100 |
Administrator’s telephone number |
2173245973 |
Signature of
Role |
Plan administrator |
Date |
2010-04-20 |
Name of individual signing |
THOMAS I. BURENGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-20 |
Name of individual signing |
THOMAS I. BURENGA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
WORKSAVER, INC. UNION 401(K) PLAN
|
2009
|
371081439
|
2011-06-28
|
WORKSAVER, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-11-01
|
Business code |
551112
|
Sponsor’s telephone number |
2173245973
|
Plan sponsor’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100
|
Plan administrator’s name and address
Administrator’s EIN |
371081439 |
Plan administrator’s name |
WORKSAVER, INC. |
Plan administrator’s
address |
PO BOX 100, LITCHFIELD, IL, 620560100 |
Administrator’s telephone number |
2173245973 |
Signature of
Role |
Plan administrator |
Date |
2011-06-28 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-28 |
Name of individual signing |
THOMAS BURENGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|