CHAMPION PROFIT SHARING PLAN
|
2011
|
273000878
|
2012-06-15
|
CMI CHAMPION, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
333410
|
Sponsor’s telephone number |
3096851031
|
Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
273000878 |
Plan administrator’s name |
CMI CHAMPION, LLC |
Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096851031 |
Signature of
Role |
Plan administrator |
Date |
2012-06-15 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAMPION PROFIT SHARING PLAN
|
2011
|
273000878
|
2012-03-15
|
CMI CHAMPION, LLC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
333410
|
Sponsor’s telephone number |
3096851031
|
Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
273000878 |
Plan administrator’s name |
CMI CHAMPION, LLC |
Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096851031 |
Signature of
Role |
Plan administrator |
Date |
2012-03-15 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAMPION PROFIT SHARING PLAN
|
2011
|
273000878
|
2012-03-15
|
CMI CHAMPION, LLC
|
11
|
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
333410
|
Sponsor’s telephone number |
3096851031
|
Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
273000878 |
Plan administrator’s name |
CMI CHAMPION, LLC |
Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096851031 |
Signature of
Role |
Plan administrator |
Date |
2012-03-15 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CHAMPION PROFIT SHARING PLAN
|
2011
|
273000878
|
2012-03-15
|
CMI CHAMPION, LLC
|
11
|
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
333410
|
Sponsor’s telephone number |
3096851031
|
Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
273000878 |
Plan administrator’s name |
CMI CHAMPION, LLC |
Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096851031 |
Signature of
Role |
Plan administrator |
Date |
2012-03-15 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
CHAMPION PROFIT SHARING PLAN
|
2010
|
273000878
|
2011-10-03
|
CMI CHAMPION, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1991-01-01
|
Business code |
333410
|
Sponsor’s telephone number |
3096851031
|
Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
Administrator’s EIN |
273000878 |
Plan administrator’s name |
CMI CHAMPION, LLC |
Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
Administrator’s telephone number |
3096851031 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
ANNE FOX |
Valid signature |
Filed with authorized/valid electronic signature |
|
|