| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2000-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
8473583838
|
| Plan sponsor’s
address |
1288 EAST DUNDEE ROAD, PALATINE, IL, 600748313
|
Plan administrator’s name and address
| Administrator’s EIN |
363436454 |
| Plan administrator’s name |
CARPET OUTLET, INC. |
| Plan administrator’s
address |
1288 EAST DUNDEE ROAD, PALATINE, IL, 600748313 |
| Administrator’s telephone number |
8473583838 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-03 |
| Name of individual signing |
JAMES WENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-03 |
| Name of individual signing |
JAMES WENTZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
