FRANSEE INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
364045457
|
2013-09-03
|
FRANSEE INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8475468575
|
Plan sponsor’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073
|
Signature of
Role |
Plan administrator |
Date |
2013-09-03 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-03 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANSEE INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
364045457
|
2013-06-17
|
FRANSEE INSURANCE AGENCY, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8475468575
|
Plan sponsor’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073
|
Signature of
Role |
Plan administrator |
Date |
2013-06-17 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-17 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANSEE INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
364045457
|
2012-05-15
|
FRANSEE INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8475468575
|
Plan sponsor’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073
|
Plan administrator’s name and address
Administrator’s EIN |
364045457 |
Plan administrator’s name |
FRANSEE INSURANCE AGENCY, INC. |
Plan administrator’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073 |
Administrator’s telephone number |
8475468575 |
Signature of
Role |
Plan administrator |
Date |
2012-05-15 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-15 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANSEE INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
364045457
|
2011-05-26
|
FRANSEE INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8475468575
|
Plan sponsor’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073
|
Plan administrator’s name and address
Administrator’s EIN |
364045457 |
Plan administrator’s name |
FRANSEE INSURANCE AGENCY, INC. |
Plan administrator’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073 |
Administrator’s telephone number |
8475468575 |
Signature of
Role |
Plan administrator |
Date |
2011-05-26 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-26 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FRANSEE INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
364045457
|
2010-07-30
|
FRANSEE INSURANCE AGENCY, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8475468575
|
Plan sponsor’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073
|
Plan administrator’s name and address
Administrator’s EIN |
364045457 |
Plan administrator’s name |
FRANSEE INSURANCE AGENCY, INC. |
Plan administrator’s
address |
111 WEST ROLLINS ROAD, ROUND LAKE BEACH, IL, 60073 |
Administrator’s telephone number |
8475468575 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-30 |
Name of individual signing |
CARLEEN FRANSEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|