EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2023
|
371287109
|
2024-04-09
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2024-04-09 |
Name of individual signing |
WILLIAM METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY INC. MEDOVA LIFESTYLE HEALTH PLAN
|
2022
|
371287109
|
2024-01-07
|
EFFINGHAM BUILDERS SUPPLY INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
PO BOX 249, EFFINGHAM, IL, 624010249
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT, INC. |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2024-01-07 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2022
|
371287109
|
2023-10-03
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
38
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2023-10-03 |
Name of individual signing |
WILLIAM METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2021
|
371287109
|
2022-05-03
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2022-05-03 |
Name of individual signing |
WILLIAM METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY INC. MEDOVA LIFESTYLE HEALTH PLAN
|
2021
|
371287109
|
2022-09-30
|
EFFINGHAM BUILDERS SUPPLY INC.
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2021-01-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
PO BOX 249, EFFINGHAM, IL, 624010249
|
Plan administrator’s name and address
Administrator’s EIN |
200200514 |
Plan administrator’s name |
RECEIVERSHIP MANAGEMENT INC |
Plan administrator’s
address |
510 HOSPITAL DR STE 490, MADISON, TN, 371155049 |
Administrator’s telephone number |
6153700051 |
Signature of
Role |
Plan administrator |
Date |
2022-09-29 |
Name of individual signing |
ROBERT MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2020
|
371287109
|
2021-02-04
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2021-02-04 |
Name of individual signing |
WILLIAM METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2019
|
371287109
|
2020-02-10
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2020-02-10 |
Name of individual signing |
WILLIAM METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2018
|
371287109
|
2019-01-31
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2019-01-31 |
Name of individual signing |
WILLIAM G. METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2017
|
371287109
|
2018-05-30
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2018-05-30 |
Name of individual signing |
WILLIAM G. METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
EFFINGHAM BUILDERS SUPPLY, INC. 401(K) PLAN
|
2016
|
371287109
|
2017-08-25
|
EFFINGHAM BUILDERS SUPPLY, INC.
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2010-03-01
|
Business code |
444110
|
Sponsor’s telephone number |
2173470561
|
Plan sponsor’s
address |
100 E. EVERGREEN, EFFINGHAM, IL, 62401
|
Signature of
Role |
Plan administrator |
Date |
2017-08-25 |
Name of individual signing |
WILLIAM G. METTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|