| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
423990
|
| Sponsor’s telephone number |
6303153316
|
| Plan sponsor’s
address |
321 WEST LAKE STREET, UNIT G, ELMHURST, IL, 60126
|
Plan administrator’s name and address
| Administrator’s EIN |
262812963 |
| Plan administrator’s name |
LAVA LITE LLC |
| Plan administrator’s
address |
321 WEST LAKE STREET, UNIT G, ELMHURST, IL, 60126 |
| Administrator’s telephone number |
6303153316 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-20 |
| Name of individual signing |
JOE KOSTELC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-09-20 |
| Name of individual signing |
JOE KOSTELC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
