DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2012
|
364093760
|
2013-06-20
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2013-06-20 |
Name of individual signing |
JAMES JELINEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2011
|
364093760
|
2012-08-22
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2012-08-22 |
Name of individual signing |
JAMES JELINEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2010
|
364093760
|
2011-09-26
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2011-09-26 |
Name of individual signing |
JAMES JELINEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2009
|
364093760
|
2010-07-29
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
JAMES E. JELINEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2009
|
364093760
|
2010-07-27
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
JAMES E. JELINEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
DAVID L. JELINEK AGENCY L.L.C. PROFIT-SHARING PLAN
|
2009
|
364093760
|
2010-07-28
|
DAVID L. JELINEK AGENCY L.L.C
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1970-02-01
|
Business code |
524210
|
Sponsor’s telephone number |
3127821005
|
Plan sponsor’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604
|
Plan administrator’s name and address
Administrator’s EIN |
364093760 |
Plan administrator’s name |
DAVID L. JELINEK AGENCY L.L.C |
Plan administrator’s
address |
53 W. JACKSON BOULEVARD, SUITE 219, CHICAGO, IL, 60604 |
Administrator’s telephone number |
3127821005 |
Signature of
Role |
Plan administrator |
Date |
2010-07-27 |
Name of individual signing |
JAMES E. JELINEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-28 |
Name of individual signing |
JAMES E. JELINEK |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|