File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-07-01
|
Business code |
531210
|
Sponsor’s telephone number |
6302533428
|
Plan sponsor’s
address |
36 GOLDEN LARCH CT, NAPERVILLE, IL, 605407407
|
Plan administrator’s name and address
Administrator’s EIN |
348664962 |
Plan administrator’s name |
HOLLY PICKENS |
Plan administrator’s
address |
36 GOLDEN LARCH CT, NAPERVILLE, IL, 605407407 |
Administrator’s telephone number |
6302533428 |
Signature of
Role |
Plan administrator |
Date |
2010-12-06 |
Name of individual signing |
HOLLY PICKENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-12-06 |
Name of individual signing |
HOLLY PICKENS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|