LIFE ASSOCIATES, INC. 401K PLAN
|
2015
|
362062806
|
2016-03-11
|
LIFE ASSOCIATES, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660445
|
Plan sponsor’s
address |
PO BOX 917, SUGAR GROVE, IL, 60554
|
Signature of
Role |
Plan administrator |
Date |
2016-03-11 |
Name of individual signing |
GREGG SZILAGYI - CHP 11 TRUSTEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2014
|
362062806
|
2015-09-22
|
LIFE ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660445
|
Plan sponsor’s
address |
PO BOX 917, SUGAR GROVE, IL, 60554
|
Signature of
Role |
Plan administrator |
Date |
2015-09-22 |
Name of individual signing |
GREGG SZILAGYI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2013
|
362062806
|
2014-10-02
|
LIFE ASSOCIATES, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660445
|
Plan sponsor’s
address |
160 S. MUNICIPAL DRIVE, SUITE B, SUGAR GROVE, IL, 60554
|
Signature of
Role |
Plan administrator |
Date |
2014-10-02 |
Name of individual signing |
GREGG SZILAGYI, CH.11 TTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2012
|
362062806
|
2013-10-15
|
LIFE ASSOCIATES, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660445
|
Plan sponsor’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
|
Plan administrator’s name and address
Administrator’s EIN |
362062806 |
Plan administrator’s name |
LIFE ASSOCIATES, INC. |
Plan administrator’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554 |
Administrator’s telephone number |
6304660448 |
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
RICHARD ZACHMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2011
|
362062806
|
2012-07-09
|
LIFE ASSOCIATES, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660448
|
Plan sponsor’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
|
Plan administrator’s name and address
Administrator’s EIN |
362062806 |
Plan administrator’s name |
LIFE ASSOCIATES, INC. |
Plan administrator’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554 |
Administrator’s telephone number |
6304660448 |
Signature of
Role |
Plan administrator |
Date |
2012-07-09 |
Name of individual signing |
LORI ZACHMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2010
|
362062806
|
2011-07-27
|
LIFE ASSOCIATES, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660448
|
Plan sponsor’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
|
Plan administrator’s name and address
Administrator’s EIN |
362062806 |
Plan administrator’s name |
LIFE ASSOCIATES, INC. |
Plan administrator’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554 |
Administrator’s telephone number |
6304660448 |
Signature of
Role |
Plan administrator |
Date |
2011-07-27 |
Name of individual signing |
LORI ZACHMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LIFE ASSOCIATES, INC. 401(K) PLAN
|
2009
|
362062806
|
2010-04-30
|
LIFE ASSOCIATES, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-09-01
|
Business code |
524210
|
Sponsor’s telephone number |
6304660448
|
Plan sponsor’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554
|
Plan administrator’s name and address
Administrator’s EIN |
362062806 |
Plan administrator’s name |
LIFE ASSOCIATES, INC. |
Plan administrator’s
address |
160 MUNICIPAL DRIVE, SUGAR GROVE, IL, 60554 |
Administrator’s telephone number |
6304660448 |
Signature of
Role |
Plan administrator |
Date |
2010-04-30 |
Name of individual signing |
LORI ZACHMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-04-30 |
Name of individual signing |
LORI ZACHMANN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|