USA-CLEAN, INC. 401(K) PLAN
|
2022
|
371319273
|
2023-04-16
|
USA-CLEAN, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 NORTH 22ND STREET, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2023-04-16 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2022
|
371319273
|
2023-04-04
|
USA-CLEAN, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 NORTH 22ND STREET, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2023-04-04 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2021
|
371319273
|
2022-05-03
|
USA-CLEAN, INC.
|
49
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 NORTH 22ND STREET, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2022-05-03 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2020
|
371319273
|
2021-03-28
|
USA-CLEAN, INC.
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 NORTH 22ND STREET, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2021-03-28 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2019
|
371319273
|
2020-02-13
|
USA-CLEAN, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 NORTH 22ND STREET, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2020-02-13 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2018
|
371319273
|
2019-04-03
|
USA-CLEAN, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 N. 22ND ST, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2019-04-03 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-03 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2017
|
371319273
|
2018-07-17
|
USA-CLEAN, INC.
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 N. 22ND ST, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2018-07-17 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-17 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2016
|
371319273
|
2017-04-25
|
USA-CLEAN, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
2803 N. 22ND ST, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2017-04-25 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-04-25 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN, INC. 401(K) PLAN
|
2015
|
371319273
|
2016-06-23
|
USA-CLEAN, INC.
|
40
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
4960 N BRUSH COLLEGE RD., DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-06-23 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
USA-CLEAN INC 401K PLAN
|
2014
|
371319273
|
2015-08-26
|
USA-CLEAN INC
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
2178774002
|
Plan sponsor’s
address |
4960 N BRUSH COLLEGE RD, DECATUR, IL, 62526
|
Signature of
Role |
Plan administrator |
Date |
2015-08-26 |
Name of individual signing |
BRUCE BUSHERT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|