|
RARE FORM CAFE INVESTMENT PLAN
|
2021
|
842276595
|
2022-10-18
|
RARE FORM CAFE COMPANY
|
1
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-07-01
|
| Business code |
722515
|
| Sponsor’s telephone number |
3124011824
|
| Plan sponsor’s
address |
1347 S PLEASANT HILL GATE, WAUKEGAN, IL, 60085
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-18 |
| Name of individual signing |
NISAR MUZAFFAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RARE FORM CAFE INVESTMENT PLAN
|
2020
|
842276595
|
2021-11-01
|
RARE FORM CAFE COMPANY
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-07-01
|
| Business code |
722515
|
| Sponsor’s telephone number |
3124011824
|
| Plan sponsor’s
address |
1347 S PLEASANT HILL GATE, WAUKEGAN, IL, 60085
|
Signature of
| Role |
Plan administrator |
| Date |
2021-11-01 |
| Name of individual signing |
NISAR MUZAFFAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-11-01 |
| Name of individual signing |
NISAR MUZAFFAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
RARE FORM CAFE INVESTMENT PLAN
|
2019
|
842276595
|
2020-10-19
|
RARE FORM CAFE COMPANY
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-07-01
|
| Business code |
722515
|
| Sponsor’s telephone number |
3124011824
|
| Plan sponsor’s
address |
1347 S PLEASANT HILL GATE, WAUKEGAN, IL, 60085
|
Signature of
| Role |
Plan administrator |
| Date |
2020-10-15 |
| Name of individual signing |
NISAR MUZAFFAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-10-19 |
| Name of individual signing |
NISAR MUZAFFAR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
