DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2012
|
371197249
|
2013-05-28
|
DON OWEN TIRE SERVICE, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-28 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2011
|
371197249
|
2012-06-05
|
DON OWEN TIRE SERVICE, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
371197249 |
Plan administrator’s name |
DON OWEN TIRE SERVICE, INC. |
Plan administrator’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3098288473 |
Signature of
Role |
Plan administrator |
Date |
2012-06-05 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2010
|
371197249
|
2011-06-08
|
DON OWEN TIRE SERVICE, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
371197249 |
Plan administrator’s name |
DON OWEN TIRE SERVICE, INC. |
Plan administrator’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3098288473 |
Signature of
Role |
Plan administrator |
Date |
2011-06-08 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2009
|
371197249
|
2010-07-22
|
DON OWEN TIRE SERVICE, INC.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
371197249 |
Plan administrator’s name |
DON OWEN TIRE SERVICE, INC. |
Plan administrator’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3098288473 |
Signature of
Role |
Plan administrator |
Date |
2010-06-04 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2009
|
371197249
|
2010-06-04
|
DON OWEN TIRE SERVICE, INC.
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
371197249 |
Plan administrator’s name |
DON OWEN TIRE SERVICE, INC. |
Plan administrator’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3098288473 |
Signature of
Role |
Plan administrator |
Date |
2010-06-04 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
DON OWEN TIRE SERVICE, INC. PROFIT-SHARING PLAN & TRUST
|
2009
|
371197249
|
2010-07-22
|
DON OWEN TIRE SERVICE, INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1995-01-01
|
Business code |
811190
|
Sponsor’s telephone number |
3098288473
|
Plan sponsor’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701
|
Plan administrator’s name and address
Administrator’s EIN |
371197249 |
Plan administrator’s name |
DON OWEN TIRE SERVICE, INC. |
Plan administrator’s
address |
620 WEST OLIVE STREET, BLOOMINGTON, IL, 61701 |
Administrator’s telephone number |
3098288473 |
Signature of
Role |
Plan administrator |
Date |
2010-06-04 |
Name of individual signing |
SUZANNE SCHWOERER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|