LAKE CONTRACTING, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
371247961
|
2011-11-10
|
LAKE CONTRACTING, INC.
|
27
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
6188246522
|
Plan sponsor’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214
|
Plan administrator’s name and address
Administrator’s EIN |
371247961 |
Plan administrator’s name |
LAKE CONTRACTING, INC. |
Plan administrator’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214 |
Administrator’s telephone number |
6188246522 |
Signature of
Role |
Plan administrator |
Date |
2011-11-10 |
Name of individual signing |
DAVID LAKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-10 |
Name of individual signing |
DAVID LAKE |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
LAKE CONTRACTING, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
371247961
|
2011-12-02
|
LAKE CONTRACTING, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
6188246522
|
Plan sponsor’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214
|
Plan administrator’s name and address
Administrator’s EIN |
371247961 |
Plan administrator’s name |
LAKE CONTRACTING, INC. |
Plan administrator’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214 |
Administrator’s telephone number |
6188246522 |
Signature of
Role |
Plan administrator |
Date |
2011-12-02 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-02 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CONTRACTING, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
371247961
|
2011-07-19
|
LAKE CONTRACTING, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
6188246522
|
Plan sponsor’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214
|
Plan administrator’s name and address
Administrator’s EIN |
371247961 |
Plan administrator’s name |
LAKE CONTRACTING, INC. |
Plan administrator’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214 |
Administrator’s telephone number |
6188246522 |
Signature of
Role |
Plan administrator |
Date |
2011-07-19 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-19 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CONTRACTING, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
371247961
|
2010-09-20
|
LAKE CONTRACTING, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
2005-09-01
|
Business code |
236200
|
Sponsor’s telephone number |
6188246522
|
Plan sponsor’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214
|
Plan administrator’s name and address
Administrator’s EIN |
371247961 |
Plan administrator’s name |
LAKE CONTRACTING, INC. |
Plan administrator’s
address |
4650 STONE CHURCH RD., ADDIEVILLE, IL, 62214 |
Administrator’s telephone number |
6188246522 |
Signature of
Role |
Plan administrator |
Date |
2010-09-20 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-20 |
Name of individual signing |
DIANE LANGE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|