DOOLEY INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
363310056
|
2012-11-21
|
DOOLEY INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
524210
|
Sponsor’s telephone number |
8154330058
|
Plan sponsor’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350
|
Plan administrator’s name and address
Administrator’s EIN |
363310056 |
Plan administrator’s name |
DOOLEY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350 |
Administrator’s telephone number |
8154330058 |
Signature of
Role |
Plan administrator |
Date |
2012-11-21 |
Name of individual signing |
VERNE DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-11-21 |
Name of individual signing |
VERNE DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOOLEY INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
363310056
|
2011-10-21
|
DOOLEY INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
524210
|
Sponsor’s telephone number |
8154330058
|
Plan sponsor’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350
|
Plan administrator’s name and address
Administrator’s EIN |
363310056 |
Plan administrator’s name |
DOOLEY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350 |
Administrator’s telephone number |
8154330058 |
Signature of
Role |
Plan administrator |
Date |
2011-10-21 |
Name of individual signing |
LAVERNE DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-21 |
Name of individual signing |
LAVERNE DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DOOLEY INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
363310056
|
2010-10-11
|
DOOLEY INSURANCE AGENCY, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1985-04-01
|
Business code |
524210
|
Sponsor’s telephone number |
8154330058
|
Plan sponsor’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350
|
Plan administrator’s name and address
Administrator’s EIN |
363310056 |
Plan administrator’s name |
DOOLEY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1001 LASALLE STREET, OTTAWA, IL, 61350 |
Administrator’s telephone number |
8154330058 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
LAVERNE E. DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
LAVERNE E. DOOLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|