File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
541512
|
Sponsor’s telephone number |
2082861516
|
Plan sponsor’s
address |
5323 N CHOPIN PL, MERIDIAN, ID, 83646
|
Plan administrator’s name and address
Administrator’s EIN |
205481379 |
Plan administrator’s name |
BLUE ROCKIT |
Plan administrator’s
address |
5323 N CHOPIN PL, MERIDIAN, ID, 83646 |
Administrator’s telephone number |
2082861516 |
Signature of
Role |
Plan administrator |
Date |
2011-11-22 |
Name of individual signing |
DUSTIN BLAD |
Valid signature |
Filed with authorized/valid electronic signature |
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