SHADY OAKS FARM LLC

Company Details

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NUSBAUM AND SONS CUSTOM CARPENTRY LLC 401(K) PLAN

2012

275019532

2013-10-09

NUSBAUM AND SONS CUSTOM CARPENTRY LLC

Signature of

Role	Plan administrator
Date	2013-10-09
Name of individual signing	BRET NUSBAUM
Valid signature	Filed with authorized/valid electronic signature

NUSBAUM AND SONS CUSTOM CARPENTRY LLC 401(K) PLAN

2011

275019532

2012-10-15

NUSBAUM AND SONS CUSTOM CARPENTRY LLC

Plan administrator’s name and address

Administrator’s EIN	275019532
Plan administrator’s name	NUSBAUM AND SONS CUSTOM CARPENTRY LLC
Plan administrator’s address	804 NORTHRIDGE COURT, MAHOMET, IL, 61853
Administrator’s telephone number	2175867090

Signature of

Role	Plan administrator
Date	2012-10-15
Name of individual signing	BRET NUSBAUM
Valid signature	Filed with authorized/valid electronic signature

Name and Address	Role	Appointment Date
BRUCE R. STEINKE, RR 1 BOX 58B, WINDSOR, 61957	Agent	2011-07-13

Name and Address	Role	Appointment Date
STEINKE, BRUCE R, 2414 E 1602 NORTH ROAD, WINDSOR, IL, 61957	Manager	2010-08-08
JUDD, SANDRA L, 2414 E 1620 NORTH ROAD, WINDSOR, IL, 61957	Manager	2010-08-07

Name	Type	Effective Date	Cancellation Date	Cancellation Type	Last Renewal Date
WOLF CREEK LODGE	Assumed name	2007-08-21	2023-09-01	Voluntary cancellation	2020-07-09

Date of last update: 13 Jan 2025