| File |
View Page
|
| Three-digit plan number (PN) |
005
|
| Effective date of plan |
1991-01-01
|
| Business code |
333410
|
| Sponsor’s telephone number |
3096851031
|
| Plan sponsor’s
address |
6021 N GALENA RD, PEORIA, IL, 61614
|
Plan administrator’s name and address
| Administrator’s EIN |
371054955 |
| Plan administrator’s name |
CHAMPION MANUFACTURING INDUSTRIES INC |
| Plan administrator’s
address |
6021 N GALENA RD, PEORIA, IL, 61614 |
| Administrator’s telephone number |
3096851031 |
Signature of
| Role |
Plan administrator |
| Date |
2010-11-16 |
| Name of individual signing |
ANNE FOX |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-11-16 |
| Name of individual signing |
ANNE FOX |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
