File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
336210
|
Sponsor’s telephone number |
6185483660
|
Plan sponsor’s
address |
1414 S BROADWAY AVE, SALEM, IL, 62881
|
Plan administrator’s name and address
Administrator’s EIN |
952460235 |
Plan administrator’s name |
JARCO, INC. |
Plan administrator’s
address |
1414 S BROADWAY AVE, SALEM, IL, 62881 |
Administrator’s telephone number |
6185483660 |
Signature of
Role |
Plan administrator |
Date |
2013-11-07 |
Name of individual signing |
KELLY KRUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-07 |
Name of individual signing |
KELLY KRUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
336210
|
Sponsor’s telephone number |
6185483660
|
Plan sponsor’s
address |
1414 S BROADWAY, SALEM, IL, 62881
|
Plan administrator’s name and address
Administrator’s EIN |
952460235 |
Plan administrator’s name |
JARCO, INC. |
Plan administrator’s
address |
1414 S BROADWAY, SALEM, IL, 62881 |
Administrator’s telephone number |
6185483660 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
KELLY KRUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|