LAKESIDE FOOD SALES, INC. PROFIT SHARING 401K PLAN
|
2012
|
363454543
|
2013-04-15
|
LAKESIDE FOOD SALES, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1993-02-01
|
Business code |
424400
|
Sponsor’s telephone number |
8478088686
|
Plan sponsor’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089
|
Signature of
Role |
Plan administrator |
Date |
2013-04-15 |
Name of individual signing |
JEROME BORKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE FOOD SALES, INC. PROFIT SHARING 401K PLAN
|
2011
|
363454543
|
2012-05-03
|
LAKESIDE FOOD SALES, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1993-02-01
|
Business code |
424400
|
Sponsor’s telephone number |
8478088686
|
Plan sponsor’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363454543 |
Plan administrator’s name |
LAKESIDE FOOD SALES, INC. |
Plan administrator’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089 |
Administrator’s telephone number |
8478088686 |
Signature of
Role |
Plan administrator |
Date |
2012-05-03 |
Name of individual signing |
JEROME BORKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE FOOD SALES, INC. PROFIT SHARING 401K PLAN
|
2010
|
363454543
|
2011-04-18
|
LAKESIDE FOOD SALES, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1993-02-01
|
Business code |
424400
|
Sponsor’s telephone number |
8478088686
|
Plan sponsor’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363454543 |
Plan administrator’s name |
LAKESIDE FOOD SALES, INC. |
Plan administrator’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089 |
Administrator’s telephone number |
8478088686 |
Signature of
Role |
Plan administrator |
Date |
2011-04-18 |
Name of individual signing |
JEROME BORKMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKESIDE FOOD SALES, INC. PROFIT SHARING/401(K) PLAN
|
2009
|
363454543
|
2010-08-20
|
LAKESIDE FOOD SALES, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
005
|
Effective date of plan |
1993-02-01
|
Business code |
424400
|
Sponsor’s telephone number |
8478088686
|
Plan sponsor’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089
|
Plan administrator’s name and address
Administrator’s EIN |
363454543 |
Plan administrator’s name |
LAKESIDE FOOD SALES, INC. |
Plan administrator’s
address |
325 WEST DUNDEE ROAD, BUFFALO GROVE, IL, 60089 |
Administrator’s telephone number |
8478088686 |
Signature of
Role |
Plan administrator |
Date |
2010-08-20 |
Name of individual signing |
FRANK HARRISON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|