GREG JARECZEK INSURANCE AGENCY INC 401K PLAN
|
2010
|
364407238
|
2010-09-23
|
GREG JARECZEK INSURANCE AGENCY INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7733275559
|
Plan sponsor’s
address |
1428 W IRVING PARK ROAD UNIT 1, CHICAGO, IL, 60613
|
Plan administrator’s name and address
Administrator’s EIN |
364407238 |
Plan administrator’s name |
GREG JARECZEK INSURANCE AGENCY INC |
Plan administrator’s
address |
1428 W IRVING PARK ROAD UNIT 1, CHICAGO, IL, 60613 |
Administrator’s telephone number |
7733275559 |
Signature of
Role |
Plan administrator |
Date |
2010-09-23 |
Name of individual signing |
GREGORY JARECZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREG JARECZEK INSURANCE AGENCY, INC. 401(K) PLAN
|
2009
|
364407238
|
2010-09-13
|
GREG JARECZEK INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7733275559
|
Plan sponsor’s
address |
1428 W. IRVING PARK RD. #1, CHICAGO, IL, 606134940
|
Plan administrator’s name and address
Administrator’s EIN |
364407238 |
Plan administrator’s name |
GREG JARECZEK INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1428 W. IRVING PARK RD. #1, CHICAGO, IL, 606134940 |
Administrator’s telephone number |
7733275559 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
GREG JARECZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-13 |
Name of individual signing |
GREG JARECZEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GREG JARECZEK INSURANCE AGENCY, INC. 401(K) PLAN
|
2009
|
364407238
|
2010-07-02
|
GREG JARECZEK INSURANCE AGENCY, INC.
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7733275559
|
Plan sponsor’s
address |
1428 W. IRVING PARK RD. #1, CHICAGO, IL, 606134940
|
Plan administrator’s name and address
Administrator’s EIN |
364407238 |
Plan administrator’s name |
GREG JARECZEK INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1428 W. IRVING PARK RD. #1, CHICAGO, IL, 606134940 |
Administrator’s telephone number |
7733275559 |
Signature of
Role |
Plan administrator |
Date |
2010-07-02 |
Name of individual signing |
GREGORY JARECZEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-02 |
Name of individual signing |
GREGORY JARECZEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|