STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2012
|
391410473
|
2013-05-24
|
STATELINE COPY PRODUCTS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Signature of
Role |
Plan administrator |
Date |
2013-05-24 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-24 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2011
|
391410473
|
2012-03-28
|
STATELINE COPY PRODUCTS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2012-03-28 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-28 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2010
|
391410473
|
2011-07-21
|
STATELINE COPY PRODUCTS, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2009
|
391410473
|
2010-07-01
|
STATELINE COPY PRODUCTS, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
BONNIE J MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-01 |
Name of individual signing |
BONNIE J MILLER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2009
|
391410473
|
2010-06-30
|
STATELINE COPY PRODUCTS, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2009
|
391410473
|
2010-07-01
|
STATELINE COPY PRODUCTS, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2010-07-01 |
Name of individual signing |
BONNIE J MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-01 |
Name of individual signing |
BONNIE J MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
STATELINE COPY PRODUCTS, INC. PROFIT SHARING & 401(K) PLAN
|
2009
|
391410473
|
2010-07-01
|
STATELINE COPY PRODUCTS, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8153899295
|
Plan sponsor’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588
|
Plan administrator’s name and address
Administrator’s EIN |
391410473 |
Plan administrator’s name |
STATELINE COPY PRODUCTS, INC. |
Plan administrator’s
address |
16050 WOOD MINT LANE, SOUTH BELOIT, IL, 610809588 |
Administrator’s telephone number |
8153899295 |
Signature of
Role |
Plan administrator |
Date |
2010-06-30 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-30 |
Name of individual signing |
BONNIE J. MILLER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|