POLISH AMERICAN ASSOCIATION 401(K)
|
2011
|
362240816
|
2012-07-25
|
POLISH AMERICAN ASSOCIATION
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, ATTN ESPERANZA ANTAZO, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, ATTN ESPERANZA ANTAZO, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
PATRICK MADIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLISH AMERICAN ASSOCIATION 401(K) PLAN
|
2010
|
362240816
|
2011-10-18
|
POLISH AMERICAN ASSOCIATION
|
94
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Plan administrator |
Date |
2011-10-18 |
Name of individual signing |
PATRICK MADIGAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLISH AMERICAN ASSOCIATION 401(K) PLAN
|
2010
|
362240816
|
2011-09-02
|
POLISH AMERICAN ASSOCIATION
|
94
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Plan administrator |
Date |
2011-09-02 |
Name of individual signing |
PATRICK MADIGAN |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
POLISH AMERICAN ASSOCIATION 401(K) PLAN
|
2009
|
362240816
|
2010-08-02
|
POLISH AMERICAN ASSOCIATION
|
87
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
DONNA DEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLISH AMERICAN ASSOCIATION 401(K) PLAN
|
2009
|
362240816
|
2010-08-02
|
POLISH AMERICAN ASSOCIATION
|
87
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
DONNA DEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-08-02 |
Name of individual signing |
DONNA DEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLISH AMERICAN ASSOCIATION 401(K) PLAN
|
2009
|
362240816
|
2010-08-03
|
POLISH AMERICAN ASSOCIATION
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
7732828206
|
Plan sponsor’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622
|
Plan administrator’s name and address
Administrator’s EIN |
362240816 |
Plan administrator’s name |
POLISH AMERICAN ASSOCIATION |
Plan administrator’s
address |
3834 NORTH CICERO AVENUE, CHICAGO, IL, 606413622 |
Administrator’s telephone number |
7732828206 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
DONNA DEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|