EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN
|
2011
|
364351025
|
2012-07-25
|
EMERALD INSURANCE SERVICES,INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7082724500
|
Plan sponsor’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364351025 |
Plan administrator’s name |
EMERALD INSURANCE SERVICES,INC. |
Plan administrator’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803 |
Administrator’s telephone number |
7082724500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
PAUL P DIDZEREKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN
|
2010
|
364351025
|
2012-07-25
|
EMERALD INSURANCE SERVICES,INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7082724500
|
Plan sponsor’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364351025 |
Plan administrator’s name |
EMERALD INSURANCE SERVICES,INC. |
Plan administrator’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803 |
Administrator’s telephone number |
7082724500 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
PAUL P DIDZEREKIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN
|
2009
|
364351025
|
2010-07-21
|
EMERALD INSURANCE SERVICES,INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7082724500
|
Plan sponsor’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364351025 |
Plan administrator’s name |
EMERALD INSURANCE SERVICES,INC. |
Plan administrator’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803 |
Administrator’s telephone number |
7082724500 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BRIAN F. GEARY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
BRIAN F. GEARY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EMERALD INSURANCE SERVICES,INC. 401(K) PROFIT SHARING PLAN
|
2009
|
364351025
|
2010-07-21
|
EMERALD INSURANCE SERVICES,INC.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7082724500
|
Plan sponsor’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803
|
Plan administrator’s name and address
Administrator’s EIN |
364351025 |
Plan administrator’s name |
EMERALD INSURANCE SERVICES,INC. |
Plan administrator’s
address |
12855 S. CICERO AVENUE, ALSIP, IL, 60803 |
Administrator’s telephone number |
7082724500 |
Signature of
Role |
Plan administrator |
Date |
2010-07-20 |
Name of individual signing |
BRIAN F. GEARY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-20 |
Name of individual signing |
BRIAN F. GEARY |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|