FIPPINGER FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN
|
2020
|
383659226
|
2021-04-12
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
PO BOX 75, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2021-04-12 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-12 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN
|
2019
|
383659226
|
2020-04-14
|
FIPPINGER FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2020-04-14 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-14 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FUNERAL HOME, INC., 401(K) PROFIT SHARING PLAN
|
2018
|
383659226
|
2019-02-23
|
FIPPINGER FUNERAL HOME, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2019-02-23 |
Name of individual signing |
SCOTT D. FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-23 |
Name of individual signing |
SCOTT D. FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401(K) PSP
|
2017
|
383659226
|
2018-04-10
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2018-04-10 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-10 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2016
|
383659226
|
2017-05-30
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2015
|
383659226
|
2016-03-22
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2016-03-22 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2014
|
383659226
|
2015-05-12
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2015-05-12 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2013
|
383659226
|
2014-03-20
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2014-03-20 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2012
|
383659226
|
2013-04-18
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Signature of
Role |
Plan administrator |
Date |
2013-04-18 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FIPPINGER FH, INC., 401K PSP
|
2011
|
383659226
|
2012-05-22
|
FIPPINGER FUNERAL HOME, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
3095822315
|
Plan sponsor’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231
|
Plan administrator’s name and address
Administrator’s EIN |
383659226 |
Plan administrator’s name |
FIPPINGER FUNERAL HOME, INC. |
Plan administrator’s
address |
401 SOUTH COLLEGE AVENUE, ALEDO, IL, 61231 |
Administrator’s telephone number |
3095822315 |
Signature of
Role |
Plan administrator |
Date |
2012-05-22 |
Name of individual signing |
SCOTT FIPPINGER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|