EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
461463024
|
2024-07-12
|
EXCELSIOR, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Signature of
Role |
Plan administrator |
Date |
2024-07-12 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2022
|
461463024
|
2023-05-08
|
EXCELSIOR, INC.
|
51
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Signature of
Role |
Plan administrator |
Date |
2023-05-08 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-08 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
461463024
|
2022-09-13
|
EXCELSIOR, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Signature of
Role |
Plan administrator |
Date |
2022-09-13 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-09-13 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
461463024
|
2021-08-11
|
EXCELSIOR, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Signature of
Role |
Plan administrator |
Date |
2021-08-11 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-08-11 |
Name of individual signing |
MICHAEL ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
461463024
|
2020-07-08
|
EXCELSIOR, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Signature of
Role |
Plan administrator |
Date |
2020-07-08 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2018
|
461463024
|
2019-06-27
|
EXCELSIOR, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
461463024 |
Plan administrator’s name |
EXCELSIOR, INC. |
Plan administrator’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109 |
Administrator’s telephone number |
8158477301 |
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2017
|
461463024
|
2018-07-10
|
EXCELSIOR, INC.
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
461463024 |
Plan administrator’s name |
EXCELSIOR, INC. |
Plan administrator’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109 |
Administrator’s telephone number |
8158477301 |
Signature of
Role |
Plan administrator |
Date |
2018-07-10 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2016
|
461463024
|
2017-07-06
|
EXCELSIOR, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
461463024 |
Plan administrator’s name |
EXCELSIOR, INC. |
Plan administrator’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109 |
Administrator’s telephone number |
8158477301 |
Signature of
Role |
Plan administrator |
Date |
2017-07-06 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2015
|
461463024
|
2016-06-29
|
EXCELSIOR, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
461463024 |
Plan administrator’s name |
EXCELSIOR, INC. |
Plan administrator’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109 |
Administrator’s telephone number |
8158477301 |
Signature of
Role |
Plan administrator |
Date |
2016-06-29 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EXCELSIOR, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
461463024
|
2015-06-23
|
EXCELSIOR, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1977-11-23
|
Business code |
326200
|
Sponsor’s telephone number |
8158477301
|
Plan sponsor’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109
|
Plan administrator’s name and address
Administrator’s EIN |
461463024 |
Plan administrator’s name |
EXCELSIOR, INC. |
Plan administrator’s
address |
4982 27TH AVENUE, ROCKFORD, IL, 61109 |
Administrator’s telephone number |
8158477301 |
Signature of
Role |
Plan administrator |
Date |
2015-06-23 |
Name of individual signing |
MIKE ABRAHAMS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|