CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2015
|
920184262
|
2016-02-15
|
PRO-DIVE, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Signature of
Role |
Plan administrator |
Date |
2016-02-15 |
Name of individual signing |
PATTY CUCHIARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-02-15 |
Name of individual signing |
PATTY CUCHIARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2014
|
920184262
|
2015-06-26
|
PRO-DIVE, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
PATTY CUCHIARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-26 |
Name of individual signing |
PATTY CUCHIARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2013
|
920184262
|
2014-06-03
|
PRO-DIVE, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Signature of
Role |
Plan administrator |
Date |
2014-06-03 |
Name of individual signing |
RANDY E. JACOBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-06-03 |
Name of individual signing |
RANDY E. JACOBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2012
|
920184262
|
2013-06-04
|
PRO-DIVE, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
RANDY E. JACOBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2011
|
920184262
|
2012-06-27
|
PRO-DIVE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Plan administrator’s name and address
Administrator’s EIN |
920184262 |
Plan administrator’s name |
PRO-DIVE, INC. |
Plan administrator’s
address |
PO BOX 663, OTTAWA, IL, 613500663 |
Administrator’s telephone number |
8154335228 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
RANDY E. JACOBS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONTRACTORS AND EMPLOYEES 401(K) PLAN
|
2010
|
920184262
|
2011-07-08
|
PRO-DIVE, INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
8154335228
|
Plan sponsor’s
address |
PO BOX 663, OTTAWA, IL, 613500663
|
Plan administrator’s name and address
Administrator’s EIN |
920184262 |
Plan administrator’s name |
PRO-DIVE, INC. |
Plan administrator’s
address |
PO BOX 663, OTTAWA, IL, 613500663 |
Administrator’s telephone number |
8154335228 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
PATTY A. CUCHIARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|