OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
364056080
|
2012-07-05
|
OTTAWA FUNERAL HOME INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
8154330300
|
Plan sponsor’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020
|
Plan administrator’s name and address
Administrator’s EIN |
364056080 |
Plan administrator’s name |
OTTAWA FUNERAL HOME INC |
Plan administrator’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020 |
Administrator’s telephone number |
8154330300 |
Signature of
Role |
Plan administrator |
Date |
2012-07-05 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-05 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
364056080
|
2011-07-21
|
OTTAWA FUNERAL HOME INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
8154330300
|
Plan sponsor’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020
|
Plan administrator’s name and address
Administrator’s EIN |
364056080 |
Plan administrator’s name |
OTTAWA FUNERAL HOME INC |
Plan administrator’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020 |
Administrator’s telephone number |
8154330300 |
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
OTTAWA FUNERAL HOME, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
364056080
|
2010-07-13
|
OTTAWA FUNERAL HOME INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2003-01-01
|
Business code |
812210
|
Sponsor’s telephone number |
8154330300
|
Plan sponsor’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020
|
Plan administrator’s name and address
Administrator’s EIN |
364056080 |
Plan administrator’s name |
OTTAWA FUNERAL HOME INC |
Plan administrator’s
address |
1111 LA SALLE STREET, OTTAWA, IL, 613502020 |
Administrator’s telephone number |
8154330300 |
Signature of
Role |
Plan administrator |
Date |
2010-07-13 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-13 |
Name of individual signing |
KAREN NUSSBAUM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|