|
FOREST PARK FOUNDATION 401(K) RETIREMENT PLAN AND TRUST
|
2011
|
370650006
|
2012-02-10
|
FOREST PARK FOUNDATION
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
115310
|
| Sponsor’s telephone number |
3094956704
|
| Plan sponsor’s
address |
3826 N TAYLOR RD, HANNA CITY, IL, 615369467
|
Plan administrator’s name and address
| Administrator’s EIN |
370650006 |
| Plan administrator’s name |
FOREST PARK FOUNDATION |
| Plan administrator’s
address |
3826 N TAYLOR RD, HANNA CITY, IL, 615369467 |
| Administrator’s telephone number |
3094956704 |
Signature of
| Role |
Plan administrator |
| Date |
2012-02-10 |
| Name of individual signing |
JAMES TOMLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOREST PARK FOUNDATION 401(K) RETIREMENT PLAN AND TRUST
|
2010
|
370650006
|
2011-08-31
|
FOREST PARK FOUNDATION
|
28
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
115310
|
| Sponsor’s telephone number |
3096886631
|
| Plan sponsor’s
address |
5823 N. FOREST PARK DRIVE, PEORIA, IL, 615369467
|
Plan administrator’s name and address
| Administrator’s EIN |
370650006 |
| Plan administrator’s name |
FOREST PARK FOUNDATION |
| Plan administrator’s
address |
5823 N. FOREST PARK DRIVE, PEORIA, IL, 615369467 |
| Administrator’s telephone number |
3096886631 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-31 |
| Name of individual signing |
JAMES TOMLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-08-31 |
| Name of individual signing |
JAMES TOMLIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FOREST PARK FOUNDATION 401(K) RETIREMENT PLAN AND TRUST
|
2009
|
370650006
|
2010-07-15
|
FOREST PARK FOUNDATION
|
29
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1997-01-01
|
| Business code |
115310
|
| Sponsor’s telephone number |
3094956704
|
| Plan sponsor’s
address |
3826 N TAYLOR RD, HANNA CITY, IL, 615369467
|
Plan administrator’s name and address
| Administrator’s EIN |
370650006 |
| Plan administrator’s name |
FOREST PARK FOUNDATION |
| Plan administrator’s
address |
3826 N TAYLOR RD, HANNA CITY, IL, 615369467 |
| Administrator’s telephone number |
3094956704 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-15 |
| Name of individual signing |
MAUREEN ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-15 |
| Name of individual signing |
MAUREEN ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
