PUBLIC HEALTH & SAFETY, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
363767163
|
2013-09-25
|
PUBLIC HEALTH & SAFETY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
3124217397
|
Plan sponsor’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607
|
Signature of
Role |
Plan administrator |
Date |
2013-09-25 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-25 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PUBLIC HEALTH & SAFETY, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
363767163
|
2012-09-30
|
PUBLIC HEALTH & SAFETY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
3124217397
|
Plan sponsor’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607
|
Plan administrator’s name and address
Administrator’s EIN |
363767163 |
Plan administrator’s name |
PUBLIC HEALTH & SAFETY, INC. |
Plan administrator’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607 |
Administrator’s telephone number |
3124217397 |
Signature of
Role |
Plan administrator |
Date |
2012-09-30 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-30 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PUBLIC HEALTH & SAFETY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
363767163
|
2011-10-10
|
PUBLIC HEALTH & SAFETY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
3124217397
|
Plan sponsor’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607
|
Plan administrator’s name and address
Administrator’s EIN |
363767163 |
Plan administrator’s name |
PUBLIC HEALTH & SAFETY, INC. |
Plan administrator’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607 |
Administrator’s telephone number |
3124217397 |
Signature of
Role |
Plan administrator |
Date |
2011-10-10 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-10 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PUBLIC HEALTH & SAFETY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
363767163
|
2010-10-05
|
PUBLIC HEALTH & SAFETY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
3124217397
|
Plan sponsor’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607
|
Plan administrator’s name and address
Administrator’s EIN |
363767163 |
Plan administrator’s name |
PUBLIC HEALTH & SAFETY, INC. |
Plan administrator’s
address |
37 SOUTH ASHLAND AVENUE, CHICAGO, IL, 60607 |
Administrator’s telephone number |
3124217397 |
Signature of
Role |
Plan administrator |
Date |
2010-10-05 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-05 |
Name of individual signing |
NICHOLAS PENEFF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|