AVERUS, INC 401(K) PLAN
|
2018
|
391625775
|
2020-10-23
|
AVERUS, INC
|
93
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Signature of
Role |
Plan administrator |
Date |
2020-10-23 |
Name of individual signing |
TOMI KIROV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2017
|
391625775
|
2018-10-12
|
AVERUS, INC
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2016
|
391625775
|
2017-10-10
|
AVERUS, INC
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2017-10-10 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2015
|
391625775
|
2016-07-15
|
AVERUS, INC
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2014
|
391625775
|
2015-05-28
|
AVERUS, INC
|
77
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2015-05-28 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2013
|
391625775
|
2014-09-30
|
AVERUS, INC
|
79
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2014-09-30 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AVERUS, INC 401(K) PLAN
|
2012
|
391625775
|
2013-10-11
|
AVERUS, INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
101
|
Effective date of plan |
2012-01-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW COURT, GURNEE, IL, 60031
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
TAG RESOURCES, LLC |
Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
PHIL TISUE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FACILITEC CENTRAL, INC. UNLIMITED 401(K) PLAN
|
2010
|
391625775
|
2011-08-30
|
DUCTS UNLIMITED, INC.
|
97
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-08-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247
|
Plan administrator’s name and address
Administrator’s EIN |
391625775 |
Plan administrator’s name |
DUCTS UNLIMITED, INC. |
Plan administrator’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247 |
Administrator’s telephone number |
8476256300 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FACILITEC CENTRAL, INC. UNLIMITED 401(K) PLAN
|
2010
|
391625775
|
2011-07-30
|
DUCTS UNLIMITED, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-08-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247
|
Plan administrator’s name and address
Administrator’s EIN |
391625775 |
Plan administrator’s name |
DUCTS UNLIMITED, INC. |
Plan administrator’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247 |
Administrator’s telephone number |
8476256300 |
Signature of
Role |
Plan administrator |
Date |
2011-07-30 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-30 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUCTS UNLIMITED 401(K) PLAN
|
2009
|
391625775
|
2010-08-09
|
DUCTS UNLIMITED, INC.
|
48
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-08-01
|
Business code |
811310
|
Sponsor’s telephone number |
8476256300
|
Plan sponsor’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247
|
Plan administrator’s name and address
Administrator’s EIN |
391625775 |
Plan administrator’s name |
DUCTS UNLIMITED, INC. |
Plan administrator’s
address |
3851 CLEARVIEW CT, GURNEE, IL, 600311247 |
Administrator’s telephone number |
8476256300 |
Signature of
Role |
Plan administrator |
Date |
2010-08-09 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-09 |
Name of individual signing |
WILLIAM JOHANSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|