| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-10-01
|
| Business code |
441300
|
| Sponsor’s telephone number |
2176520156
|
| Plan sponsor’s mailing address |
920 N MAIN, CARROLLTON, IL, 62016
|
| Plan sponsor’s
address |
920 N MAIN, CARROLLTON, IL, 62016
|
Plan administrator’s name and address
| Administrator’s EIN |
201910822 |
| Plan administrator’s name |
WORTH & JENKINS, INC. |
| Plan administrator’s
address |
920 N MAIN, CARROLLTON, IL, 62016 |
| Administrator’s telephone number |
2176520156 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
4 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
| Role |
Plan administrator |
| Date |
2013-03-07 |
| Name of individual signing |
JEFFREY JENKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-03-07 |
| Name of individual signing |
JEFFREY JENKINS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
