MOULTRIE COUNTY BEACON 403(B) PLAN
|
2012
|
370922841
|
2013-07-29
|
MOULTRIE COUNTY BEACON, INC
|
89
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-05-01
|
Business code |
624310
|
Sponsor’s telephone number |
2177287396
|
Plan sponsor’s
address |
401 WEST WATER STREET, SULLIVAN, IL, 61951
|
Signature of
Role |
Plan administrator |
Date |
2013-07-29 |
Name of individual signing |
CAROL MYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOULTRIE COUNTY BEACON 403(B) PLAN
|
2011
|
370922841
|
2012-07-25
|
MOULTRIE COUNTY BEACON, INC
|
116
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-05-01
|
Business code |
624310
|
Sponsor’s telephone number |
2177287396
|
Plan sponsor’s
address |
401 WEST WATER STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370922841 |
Plan administrator’s name |
MOULTRIE COUNTY BEACON, INC |
Plan administrator’s
address |
401 WEST WATER STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177287396 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
CAROL MYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H&S BUILDERS 401(K) PLAN
|
2010
|
364485466
|
2011-01-13
|
HAEGELAND & SCHMIDT BUILDERS LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8479910123
|
Plan sponsor’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
364485466 |
Plan administrator’s name |
HAEGELAND & SCHMIDT BUILDERS LLC |
Plan administrator’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8479910123 |
Signature of
Role |
Plan administrator |
Date |
2011-01-13 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-13 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MOULTRIE COUNTY BEACON 403(B) PLAN
|
2010
|
370922841
|
2011-09-06
|
MOULTRIE COUNTY BEACON, INC
|
114
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-05-01
|
Business code |
624310
|
Sponsor’s telephone number |
2177287396
|
Plan sponsor’s
address |
401 WEST WATER STREET, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370922841 |
Plan administrator’s name |
MOULTRIE COUNTY BEACON, INC |
Plan administrator’s
address |
401 WEST WATER STREET, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177287396 |
Signature of
Role |
Plan administrator |
Date |
2011-09-06 |
Name of individual signing |
CAROL MYERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H&S BUILDERS 401(K) PLAN
|
2009
|
364485466
|
2010-06-14
|
HAEGELAND & SCHMIDT BUILDERS LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8479910123
|
Plan sponsor’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
364485466 |
Plan administrator’s name |
HAEGELAND & SCHMIDT BUILDERS LLC |
Plan administrator’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8479910123 |
Signature of
Role |
Plan administrator |
Date |
2010-06-14 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-14 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H&S BUILDERS 401(K) PLAN
|
2009
|
364485466
|
2010-05-23
|
HAEGELAND & SCHMIDT BUILDERS LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
236110
|
Sponsor’s telephone number |
8479910123
|
Plan sponsor’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008
|
Plan administrator’s name and address
Administrator’s EIN |
364485466 |
Plan administrator’s name |
HAEGELAND & SCHMIDT BUILDERS LLC |
Plan administrator’s
address |
4300 LINCOLN AVE. Q, ROLLING MEADOWS, IL, 60008 |
Administrator’s telephone number |
8479910123 |
Signature of
Role |
Plan administrator |
Date |
2010-05-23 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-23 |
Name of individual signing |
DAVE HAEGELAND |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
MOULTRIE COUNTY BEACON TAX SHELTERED ANNUITY PLAN
|
2009
|
370922841
|
2010-09-28
|
MOULTRIE COUNTY BEACON, INC.
|
105
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-05-01
|
Business code |
624310
|
Sponsor’s telephone number |
2177287396
|
Plan sponsor’s
address |
P.O. BOX 406, SULLIVAN, IL, 61951
|
Plan administrator’s name and address
Administrator’s EIN |
370922841 |
Plan administrator’s name |
MOULTRIE COUNTY BEACON, INC. |
Plan administrator’s
address |
P.O. BOX 406, SULLIVAN, IL, 61951 |
Administrator’s telephone number |
2177287396 |
Signature of
Role |
Plan administrator |
Date |
2010-09-28 |
Name of individual signing |
SUSAN RAUCH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|