NICKELSON INDUSTRIAL SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2012
|
364168932
|
2013-07-26
|
NICKELSON INDUSTRIAL SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7733750874
|
Plan sponsor’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636
|
Signature of
Role |
Plan administrator |
Date |
2013-07-26 |
Name of individual signing |
JEFFREY LEV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NICKELSON INDUSTRIAL SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2011
|
364168932
|
2012-06-28
|
NICKELSON INDUSTRIAL SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7733750874
|
Plan sponsor’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636
|
Plan administrator’s name and address
Administrator’s EIN |
364168932 |
Plan administrator’s name |
NICKELSON INDUSTRIAL SERVICE, INC. |
Plan administrator’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636 |
Administrator’s telephone number |
7733750874 |
Signature of
Role |
Plan administrator |
Date |
2012-06-28 |
Name of individual signing |
JEFFREY LEV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NICKELSON INDUSTRIAL SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
364168932
|
2011-07-26
|
NICKELSON INDUSTRIAL SERVICE, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7733750874
|
Plan sponsor’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636
|
Plan administrator’s name and address
Administrator’s EIN |
364168932 |
Plan administrator’s name |
NICKELSON INDUSTRIAL SERVICE, INC. |
Plan administrator’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636 |
Administrator’s telephone number |
7733750874 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
JEFFREY LEV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NICKELSON INDUSTRIAL SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
364168932
|
2010-07-28
|
NICKELSON INDUSTRIAL SERVICE, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7733750874
|
Plan sponsor’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636
|
Plan administrator’s name and address
Administrator’s EIN |
364168932 |
Plan administrator’s name |
NICKELSON INDUSTRIAL SERVICE, INC. |
Plan administrator’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636 |
Administrator’s telephone number |
7733750874 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JEFFREY LEV |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NICKELSON INDUSTRIAL SERVICE, INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
364168932
|
2010-07-28
|
NICKELSON INDUSTRIAL SERVICE, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7733750874
|
Plan sponsor’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636
|
Plan administrator’s name and address
Administrator’s EIN |
364168932 |
Plan administrator’s name |
NICKELSON INDUSTRIAL SERVICE, INC. |
Plan administrator’s
address |
8501 S. BALTIMORE AVENUE, CHICAGO, IL, 606172636 |
Administrator’s telephone number |
7733750874 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
JEFFREY LEV |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|