PERFORMERS CARPET & TILE, INC. RETIREMENT PLAN
|
2011
|
364206411
|
2012-10-05
|
PERFORMERS CARPET & TILE, INC.
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6306657533
|
Plan sponsor’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
364206411 |
Plan administrator’s name |
PERFORMERS CARPET & TILE, INC. |
Plan administrator’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6306657533 |
Signature of
Role |
Plan administrator |
Date |
2012-10-05 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-05 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERFORMERS CARPET & TILE, INC. RETIREMENT PLAN
|
2010
|
364206411
|
2012-10-03
|
PERFORMERS CARPET & TILE, INC.
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6306657533
|
Plan sponsor’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
364206411 |
Plan administrator’s name |
PERFORMERS CARPET & TILE, INC. |
Plan administrator’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6306657533 |
Signature of
Role |
Plan administrator |
Date |
2012-10-03 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-03 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERFORMERS CARPET & TILE, INC. RETIREMENT PLAN
|
2010
|
364206411
|
2011-10-14
|
PERFORMERS CARPET & TILE, INC.
|
31
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6306657533
|
Plan sponsor’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
364206411 |
Plan administrator’s name |
PERFORMERS CARPET & TILE, INC. |
Plan administrator’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6306657533 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PERFORMERS CARPET & TILE, INC. RETIREMENT PLAN
|
2009
|
364206411
|
2010-10-14
|
PERFORMERS CARPET & TILE, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
238300
|
Sponsor’s telephone number |
6306657533
|
Plan sponsor’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108
|
Plan administrator’s name and address
Administrator’s EIN |
364206411 |
Plan administrator’s name |
PERFORMERS CARPET & TILE, INC. |
Plan administrator’s
address |
25W561 ARMY TRAIL ROAD, BLOOMINGDALE, IL, 60108 |
Administrator’s telephone number |
6306657533 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-14 |
Name of individual signing |
JOHN PSYHOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|