CLEAN USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
300782350
|
2024-04-08
|
CLEAN USA INC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
561740
|
Sponsor’s telephone number |
6308360088
|
Plan sponsor’s
address |
1630 DEKALB AVE, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2024-04-08 |
Name of individual signing |
THERESA HOLTERHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
300782350
|
2023-08-30
|
CLEAN USA INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
561740
|
Sponsor’s telephone number |
6308360088
|
Plan sponsor’s
address |
1630 DEKALB AVE, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2023-08-30 |
Name of individual signing |
THERESA HOLTERHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
300782350
|
2022-09-22
|
CLEAN USA INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
561740
|
Sponsor’s telephone number |
6308360088
|
Plan sponsor’s
address |
920 WEST PRAIRIE DRIVE - SUITE M, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2022-09-22 |
Name of individual signing |
JUSTIN ELLIOTT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
300782350
|
2021-04-21
|
CLEAN USA INC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
561740
|
Sponsor’s telephone number |
6308360088
|
Plan sponsor’s
address |
920 WEST PRAIRIE DRIVE - SUITE M, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2021-04-21 |
Name of individual signing |
THERESA HOLTERHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLEAN USA INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
300782350
|
2020-04-07
|
CLEAN USA INC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-01-01
|
Business code |
561740
|
Sponsor’s telephone number |
6308360088
|
Plan sponsor’s
address |
920 WEST PRAIRIE DRIVE - SUITE M, SYCAMORE, IL, 60178
|
Signature of
Role |
Plan administrator |
Date |
2020-04-07 |
Name of individual signing |
THERESA HOLTERHAUS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|