NIXALITE OF AMERICA INC 401K RETIREMENT PLAN
|
2012
|
363846123
|
2013-07-26
|
NIXALITE OF AMERICA INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3097558771
|
Plan sponsor’s
address |
PO BOX 727, EAST MOLINE, IL, 61244
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIXALITE OF AMERICA INC 401K RETIREMENT PLAN
|
2011
|
363846123
|
2012-07-18
|
NIXALITE OF AMERICA INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3097558771
|
Plan sponsor’s
address |
PO BOX 727, EAST MOLINE, IL, 61244
|
Plan administrator’s name and address
Administrator’s EIN |
363846123 |
Plan administrator’s name |
NIXALITE OF AMERICA INC |
Plan administrator’s
address |
1025 16TH AVE., EAST MOLINE, IL, 61244 |
Administrator’s telephone number |
3097558771 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-18 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIXALITE OF AMERICA INC 401K RETIREMENT PLAN
|
2010
|
363846123
|
2011-07-22
|
NIXALITE OF AMERICA INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3097558771
|
Plan sponsor’s
address |
PO BOX 727, EAST MOLINE, IL, 61244
|
Plan administrator’s name and address
Administrator’s EIN |
363846123 |
Plan administrator’s name |
NIXALITE OF AMERICA INC |
Plan administrator’s
address |
1025 16TH AVE., EAST MOLINE, IL, 61244 |
Administrator’s telephone number |
3097558771 |
Signature of
Role |
Plan administrator |
Date |
2011-07-22 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-22 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NIXALITE OF AMERICA, INC. 401K RETIREMENT PLAN
|
2009
|
363846123
|
2010-07-07
|
NIXALITE OF AMERICA, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
332610
|
Sponsor’s telephone number |
3097558771
|
Plan sponsor’s
address |
PO BOX 727, EAST MOLINE, IL, 61244
|
Plan administrator’s name and address
Administrator’s EIN |
363846123 |
Plan administrator’s name |
NIXALITE OF AMERICA, INC. |
Plan administrator’s
address |
1025 16TH AVE., EAST MOLINE, IL, 61244 |
Administrator’s telephone number |
3097558771 |
Signature of
Role |
Plan administrator |
Date |
2010-07-07 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-07 |
Name of individual signing |
CORY GELLERSTEDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|