INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-04-23
|
INNERPAC, INC.
|
153
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-04-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
194
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
193
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
197
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
219
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
220
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
INNERPAC, INC. EMPLOYEE WELFARE BENEFIT PLAN
|
2009
|
364312412
|
2010-08-23
|
INNERPAC, INC.
|
235
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-09-04
|
Business code |
322200
|
Sponsor’s telephone number |
7088638300
|
Plan sponsor’s mailing address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan sponsor’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804
|
Plan administrator’s name and address
Administrator’s EIN |
364312412 |
Plan administrator’s name |
INNERPAC, INC. |
Plan administrator’s
address |
1942 SOUTH LARAMIE AVENUE, CICERO, IL, 60804 |
Administrator’s telephone number |
7088638300 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-23 |
Name of individual signing |
DAN WIESBROCK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|