|
LAKE ENVIRONMENTAL, INC. 401(K) P/S PLAN
|
2009
|
431654419
|
2010-08-09
|
LAKE ENVIRONMENTAL, INC.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3147414111
|
| Plan sponsor’s
address |
2305 KEARBEY LANE, SOUTH ROXANA, IL, 62087
|
Plan administrator’s name and address
| Administrator’s EIN |
431654419 |
| Plan administrator’s name |
LAKE ENVIRONMENTAL, INC. |
| Plan administrator’s
address |
2305 KEARBEY LANE, SOUTH ROXANA, IL, 62087 |
| Administrator’s telephone number |
3147414111 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-09 |
| Name of individual signing |
ANTHONY MATHENIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAKE ENVIRONMENTAL, INC. 401(K) P/S PLAN
|
2009
|
431654419
|
2010-08-09
|
LAKE ENVIRONMENTAL, INC.
|
17
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3147414111
|
| Plan sponsor’s
address |
2305 KEARBEY LANE, SOUTH ROXANA, IL, 62087
|
Plan administrator’s name and address
| Administrator’s EIN |
431654419 |
| Plan administrator’s name |
LAKE ENVIRONMENTAL, INC. |
| Plan administrator’s
address |
2305 KEARBEY LANE, SOUTH ROXANA, IL, 62087 |
| Administrator’s telephone number |
3147414111 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-09 |
| Name of individual signing |
ANTHONY MATHENIA |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
