BOSS PAVING INC 401K PROFIT SHARING PLAN AND TRUST
|
2019
|
453600621
|
2021-09-27
|
BOSS PAVING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8474391710
|
Plan sponsor’s
address |
2324 HAMILTON ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2021-09-27 |
Name of individual signing |
DANIELLE PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-27 |
Name of individual signing |
DANIELLE PETRESON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401K PROFIT SHARING PLAN AND TRUST
|
2018
|
453600621
|
2019-07-12
|
BOSS PAVING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8474391710
|
Plan sponsor’s
address |
2324 HAMILTON ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2019-07-12 |
Name of individual signing |
TRACY DNEILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401K PROFIT SHARING PLAN AND TRUST
|
2017
|
453600621
|
2018-11-05
|
BOSS PAVING
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8474391710
|
Plan sponsor’s
address |
2324 HAMILTON ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2018-11-05 |
Name of individual signing |
TRACY DNEILL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401K PROFIT SHARING PLAN AND TRUST
|
2016
|
453600621
|
2017-06-12
|
BOSS PAVING
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8474391710
|
Plan sponsor’s
address |
2324 HAMILTON ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2017-06-12 |
Name of individual signing |
AMBER NOVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401K PROFIT SHARING PLAN AND TRUST
|
2015
|
453600621
|
2016-06-13
|
BOSS PAVING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8474391710
|
Plan sponsor’s
address |
2324 HAMILTON ROAD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2016-06-13 |
Name of individual signing |
AMBER NOVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
453600621
|
2015-05-08
|
BOSS PAVING INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
324120
|
Sponsor’s telephone number |
8473436212
|
Plan sponsor’s
address |
2324 HAMILTON RD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2015-05-08 |
Name of individual signing |
DANIELLE PETERSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
453600621
|
2015-06-26
|
BOSS PAVING INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
324120
|
Sponsor’s telephone number |
8473436212
|
Plan sponsor’s
address |
2324 HAMILTON RD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2015-06-26 |
Name of individual signing |
AMBER NOVI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOSS PAVING INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
453600621
|
2014-06-11
|
BOSS PAVING INC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-01
|
Business code |
324120
|
Sponsor’s telephone number |
8473436212
|
Plan sponsor’s
address |
2324 HAMILTON RD, ARLINGTON HEIGHTS, IL, 60005
|
Signature of
Role |
Plan administrator |
Date |
2014-06-11 |
Name of individual signing |
PATRICIA SCHULZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|