EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC.
|
2011
|
362378194
|
2012-10-15
|
BEN WATTS MARINA, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
441222
|
Sponsor’s telephone number |
8475870211
|
Plan sponsor’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020
|
Plan administrator’s name and address
Administrator’s EIN |
362378194 |
Plan administrator’s name |
BEN WATTS MARINA, INC. |
Plan administrator’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020 |
Administrator’s telephone number |
8475870211 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC.
|
2010
|
362378194
|
2011-10-17
|
BEN WATTS MARINA, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
441222
|
Sponsor’s telephone number |
8475870211
|
Plan sponsor’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020
|
Plan administrator’s name and address
Administrator’s EIN |
362378194 |
Plan administrator’s name |
BEN WATTS MARINA, INC. |
Plan administrator’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020 |
Administrator’s telephone number |
8475870211 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC.
|
2009
|
362378194
|
2010-10-18
|
BEN WATTS MARINA, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
441222
|
Sponsor’s telephone number |
8475870211
|
Plan sponsor’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020
|
Plan administrator’s name and address
Administrator’s EIN |
362378194 |
Plan administrator’s name |
BEN WATTS MARINA, INC. |
Plan administrator’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020 |
Administrator’s telephone number |
8475870211 |
Signature of
Role |
Plan administrator |
Date |
2010-10-18 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-18 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC.
|
2009
|
362378194
|
2010-10-15
|
BEN WATTS MARINA, INC.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
441222
|
Sponsor’s telephone number |
8475870211
|
Plan sponsor’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020
|
Plan administrator’s name and address
Administrator’s EIN |
362378194 |
Plan administrator’s name |
BEN WATTS MARINA, INC. |
Plan administrator’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020 |
Administrator’s telephone number |
8475870211 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
EMPLOYEE BENEFIT PLAN OF BEN WATTS MARINA, INC.
|
2009
|
362378194
|
2010-10-15
|
BEN WATTS MARINA, INC.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
441222
|
Sponsor’s telephone number |
8475870211
|
Plan sponsor’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020
|
Plan administrator’s name and address
Administrator’s EIN |
362378194 |
Plan administrator’s name |
BEN WATTS MARINA, INC. |
Plan administrator’s
address |
116 S ROUTE 12, FOX LAKE, IL, 60020 |
Administrator’s telephone number |
8475870211 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-15 |
Name of individual signing |
DEBBIE NORDMEYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|