KCC/BERKOT 401(K) PLAN
|
2011
|
542123465
|
2012-07-05
|
KCC III, LLC
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
445110
|
Sponsor’s telephone number |
7084797411
|
Plan
sponsor’s DBA name |
BERKOT SUPER FOODS
|
Plan sponsor’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
542123465 |
Plan administrator’s name |
KCC III, LLC |
Plan administrator’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084797411 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
JOHN KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KCC/BERKOT 401(K) PLAN
|
2011
|
542123465
|
2012-10-19
|
KCC III, LLC
|
47
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
445110
|
Sponsor’s telephone number |
7084797411
|
Plan
sponsor’s DBA name |
BERKOT SUPER FOODS
|
Plan sponsor’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
542123465 |
Plan administrator’s name |
KCC III, LLC |
Plan administrator’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084797411 |
Signature of
Role |
Plan administrator |
Date |
2012-10-19 |
Name of individual signing |
JOHN H KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KCC/BERKOT 401(K) PLAN
|
2010
|
542123465
|
2011-07-06
|
KCC III, LLC
|
56
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
445110
|
Sponsor’s telephone number |
7084797411
|
Plan
sponsor’s DBA name |
BERKOT SUPER FOODS
|
Plan sponsor’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
542123465 |
Plan administrator’s name |
KCC III, LLC |
Plan administrator’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084797411 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
JOHN H KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-06 |
Name of individual signing |
JOHN H KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KCC/BERKOT 401(K) PLAN
|
2009
|
542123465
|
2010-06-30
|
KCC III, LLC
|
54
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
445110
|
Sponsor’s telephone number |
7084797411
|
Plan
sponsor’s DBA name |
BERKOT SUPER FOODS
|
Plan sponsor’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448
|
Plan administrator’s name and address
Administrator’s EIN |
542123465 |
Plan administrator’s name |
KCC III, LLC |
Plan administrator’s
address |
20005 WOLF ROAD, MOKENA, IL, 60448 |
Administrator’s telephone number |
7084797411 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
JOHN KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
JOHN KOTARA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|