CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2011
|
360971620
|
2012-06-13
|
CSA FRATERNAL LIFE
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2012-06-13 |
Name of individual signing |
BRIAN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-13 |
Name of individual signing |
BRIAN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2010
|
360971620
|
2011-10-04
|
CSA FRATERNAL LIFE
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2011-10-04 |
Name of individual signing |
DANIEL J. WENZLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2010
|
360971620
|
2011-09-23
|
CSA FRATERNAL LIFE
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
BRIAN MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2010
|
360971620
|
2011-09-23
|
CSA FRATERNAL LIFE
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
BRIAN MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2010
|
360971620
|
2011-09-23
|
CSA FRATERNAL LIFE
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2011-09-23 |
Name of individual signing |
BRIAN MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CSA 401(K) EMPLOYEE SAVINGS PLAN
|
2009
|
360971620
|
2010-09-21
|
CSA FRATERNAL LIFE
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2009-02-15
|
Business code |
524140
|
Sponsor’s telephone number |
6304720500
|
Plan sponsor’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523
|
Plan administrator’s name and address
Administrator’s EIN |
360971620 |
Plan administrator’s name |
CSA FRATERNAL LIFE |
Plan administrator’s
address |
122 W. 22ND ST., OAK BROOK, IL, 60523 |
Administrator’s telephone number |
6304720500 |
Signature of
Role |
Plan administrator |
Date |
2010-09-21 |
Name of individual signing |
DANIEL WENZLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|