DONNE INSURANCE GROUP, INC.401K PROFIT SHARING PLAN AND TRUST
|
2012
|
362226556
|
2013-07-25
|
DONNE INSURANCE GROUP, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084293100
|
Plan sponsor’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477
|
Signature of
Role |
Plan administrator |
Date |
2013-07-25 |
Name of individual signing |
WILLIAM DONNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONNE INSURANCE GROUP, INC.401K PROFIT SHARING PLAN AND TRUST
|
2011
|
362226556
|
2012-07-26
|
DONNE INSURANCE GROUP, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084293100
|
Plan sponsor’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477
|
Plan administrator’s name and address
Administrator’s EIN |
362226556 |
Plan administrator’s name |
DONNE INSURANCE GROUP, INC. |
Plan administrator’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477 |
Administrator’s telephone number |
7084293100 |
Signature of
Role |
Plan administrator |
Date |
2012-07-26 |
Name of individual signing |
WILLIAM DONNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONNE INSURANCE GROUP, INC.401K PROFIT SHARING PLAN AND TRUST
|
2010
|
362226556
|
2011-07-28
|
DONNE INSURANCE GROUP, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084293100
|
Plan sponsor’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477
|
Plan administrator’s name and address
Administrator’s EIN |
362226556 |
Plan administrator’s name |
DONNE INSURANCE GROUP, INC. |
Plan administrator’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477 |
Administrator’s telephone number |
7084293100 |
Signature of
Role |
Plan administrator |
Date |
2011-07-28 |
Name of individual signing |
WILLIAM DONNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DONNE INSURANCE GROUP, INC. 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
362226556
|
2010-10-12
|
DONNE INSURANCE GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7084293100
|
Plan sponsor’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477
|
Plan administrator’s name and address
Administrator’s EIN |
362226556 |
Plan administrator’s name |
DONNE INSURANCE GROUP, INC. |
Plan administrator’s
address |
7777 WEST 159TH STREET SUITE B, TINLEY PARK, IL, 60477 |
Administrator’s telephone number |
7084293100 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
WILLIAM G. DONNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
WILLIAM G. DONNE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|