BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2011
|
371391652
|
2012-09-26
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2012-09-26 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-09-26 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
371391652
|
2011-10-11
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
371391652
|
2011-10-11
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
371391652
|
2012-01-24
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
371391652
|
2012-01-24
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2012-01-24 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-24 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2010
|
371391652
|
2011-10-11
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-11 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2009
|
371391652
|
2010-10-12
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2010-10-12 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-12 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURWELL MANAGEMENT COMPANY 401(K) PROFIT SHARING PLAN
|
2009
|
371391652
|
2010-10-08
|
BURWELL MANAGEMENT COMPANY
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
531190
|
Sponsor’s telephone number |
2177354493
|
Plan sponsor’s
address |
P.O. BOX 430, LINCOLN, IL, 62656
|
Plan administrator’s name and address
Administrator’s EIN |
371391652 |
Plan administrator’s name |
BURWELL MANAGEMENT COMPANY |
Plan administrator’s
address |
P.O. BOX 430, LINCOLN, IL, 62656 |
Administrator’s telephone number |
2177354493 |
Signature of
Role |
Plan administrator |
Date |
2010-10-08 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-08 |
Name of individual signing |
CURT BURWELL |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|