| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-01
|
| Business code |
812210
|
| Sponsor’s telephone number |
7083881300
|
| Plan sponsor’s
address |
13050 GREENWOOD AVE, BLUE ISLAND, IL, 604062333
|
Plan administrator’s name and address
| Administrator’s EIN |
362998108 |
| Plan administrator’s name |
KRUEGER FUNERAL HOME, LTD |
| Plan administrator’s
address |
13050 GREENWOOD AVE, BLUE ISLAND, IL, 604062333 |
| Administrator’s telephone number |
7083881300 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-24 |
| Name of individual signing |
KELLE KRUEGER KYSIAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-24 |
| Name of individual signing |
KELLE KRUEGER KYSIAK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
