JADE ROCKFORD LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

JADE ROCKFORD, LLC 401(K) PROFIT SHARING PLAN

2011

364272845

2012-10-30

JADE ROCKFORD, LLC

Plan administrator’s name and address

Administrator’s EIN	364272845
Plan administrator’s name	JADE ROCKFORD, LLC
Plan administrator’s address	5610 WANSFORD WAY, ROCKFORD, IL, 61109
Administrator’s telephone number	8154943523

Signature of

Role	Plan administrator
Date	2012-10-30
Name of individual signing	DAVID KOCH
Valid signature	Filed with authorized/valid electronic signature

JADE ROCKFORD, LLC 401(K) PROFIT SHARING PLAN

2009

364272845

2010-10-14

JADE ROCKFORD, LLC

115

Plan administrator’s name and address

Administrator’s EIN	364272845
Plan administrator’s name	JADE ROCKFORD, LLC
Plan administrator’s address	5610 WANSFORD WAY, ROCKFORD, IL, 61109
Administrator’s telephone number	8154943523

Signature of

Role	Plan administrator
Date	2010-10-14
Name of individual signing	DAVID KOCH
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
DAVID M KOCH, 2932 EAST ROCK DRIVE, ROCKFORD, 61109, WINNEBAGO	Agent	2006-03-13

Name and Address	Role	Appointment Date
KOCH, DAVID M., 8711 GREYS OAKS AVE, SARASOTA, FL, 64238	Manager	2024-02-29
KOCH, JUDITH L., 8711 GREYS OAKS AVE, SARASOTA, FL, 64238	Manager	2024-02-29

Name	Change Date
JADE CHERRY VALLEY LLC	1999-09-23

Date of last update: 13 Jan 2025