LODI TAP HOUSE, LLC 401(K) PLAN
|
2023
|
813454348
|
2024-10-11
|
LODI TAP HOUSE, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-10-01
|
Business code |
722410
|
Sponsor’s telephone number |
8155086732
|
Plan sponsor’s
address |
107 CENTER STREET, PO BOX 81, MAPLE PARK, IL, 60151
|
Signature of
Role |
Plan administrator |
Date |
2024-10-11 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-11 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LODI TAP HOUSE, LLC 401(K) PLAN
|
2022
|
813454348
|
2023-10-13
|
LODI TAP HOUSE, LLC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-10-01
|
Business code |
722410
|
Sponsor’s telephone number |
8155086732
|
Plan sponsor’s
address |
107 CENTER STREET, PO BOX 81, MAPLE PARK, IL, 60151
|
Signature of
Role |
Plan administrator |
Date |
2023-10-13 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-10-13 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LODI TAP HOUSE, LLC 401(K) PLAN
|
2021
|
813454348
|
2022-10-11
|
LODI TAP HOUSE, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-10-01
|
Business code |
722410
|
Sponsor’s telephone number |
8155086732
|
Plan sponsor’s
address |
107 CENTER STREET, PO BOX 81, MAPLE PARK, IL, 60151
|
Signature of
Role |
Plan administrator |
Date |
2022-10-11 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-10-11 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LODI TAP HOUSE, LLC 401(K) PLAN
|
2020
|
813454348
|
2021-10-12
|
LODI TAP HOUSE, LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-10-01
|
Business code |
722410
|
Sponsor’s telephone number |
8155086732
|
Plan sponsor’s
address |
107 CENTER STREET, PO BOX 81, MAPLE PARK, IL, 60151
|
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LODI TAP HOUSE, LLC 401(K) PLAN
|
2019
|
813454348
|
2020-10-15
|
LODI TAP HOUSE, LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2019-10-01
|
Business code |
722410
|
Sponsor’s telephone number |
8155086732
|
Plan sponsor’s
address |
107 CENTER STREET, PO BOX 81, MAPLE PARK, IL, 60151
|
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-15 |
Name of individual signing |
LUCAS GOUCHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|