AMBERLEAF PARTNERS 401(K) PLAN
|
2020
|
201320677
|
2021-05-26
|
AMBERLEAF PARTNERS, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P.O. BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2021-05-26 |
Name of individual signing |
DONALD STEFFEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-05-26 |
Name of individual signing |
DONALD STEFFEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2019
|
201320677
|
2020-02-21
|
AMBERLEAF PARTNERS, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P.O. BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2020-02-21 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-02-21 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2018
|
201320677
|
2019-03-08
|
AMBERLEAF PARTNERS, INC.
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P.O. BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2019-03-08 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-03-08 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2017
|
201320677
|
2018-03-15
|
AMBERLEAF PARTNERS, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P.O. BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2018-03-15 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-03-15 |
Name of individual signing |
GERI RUBEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2016
|
201320677
|
2017-06-14
|
AMBERLEAF PARTNERS INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P O BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2017-06-14 |
Name of individual signing |
KEVIN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2015
|
201320677
|
2016-06-01
|
AMBERLEAF PARTNERS INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P O BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2016-06-01 |
Name of individual signing |
KEVIN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2014
|
201320677
|
2015-06-08
|
AMBERLEAF PARTNERS INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P O BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2015-06-08 |
Name of individual signing |
KEVIN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2013
|
201320677
|
2014-06-11
|
AMBERLEAF PARTNERS INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P O BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2014-06-11 |
Name of individual signing |
KEVIN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2012
|
201320677
|
2013-06-04
|
AMBERLEAF PARTNERS INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8156784050
|
Plan sponsor’s
address |
P. O. BOX 471, RICHMOND, IL, 60071
|
Signature of
Role |
Plan administrator |
Date |
2013-06-04 |
Name of individual signing |
KEVIN MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMBERLEAF PARTNERS 401(K) PLAN
|
2011
|
201320677
|
2012-12-20
|
AMBERLEAF PARTNERS INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
541511
|
Sponsor’s telephone number |
8478451781
|
Plan sponsor’s
address |
781 S MIDLOTHIAN ROAD, MUNDELEIN, IL, 60060
|
Plan administrator’s name and address
Administrator’s EIN |
201320677 |
Plan administrator’s name |
AMBERLEAF PARTNERS INC. |
Plan administrator’s
address |
781 S MIDLOTHIAN ROAD, MUNDELEIN, IL, 60060 |
Administrator’s telephone number |
8478451781 |
Signature of
Role |
Plan administrator |
Date |
2012-12-20 |
Name of individual signing |
MITCHELL GOLDMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|