|
CCBENEFITS, INC. 401(K) PLAN
|
2010
|
820530325
|
2010-08-26
|
CCBENEFITS, INC.
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-03-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
2088823567
|
| Plan sponsor’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843
|
Plan administrator’s name and address
| Administrator’s EIN |
820530325 |
| Plan administrator’s name |
CCBENEFITS, INC. |
| Plan administrator’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843 |
| Administrator’s telephone number |
2088823567 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-26 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-26 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CCBENEFITS, INC. 401(K) PLAN
|
2010
|
820530325
|
2010-08-25
|
CCBENEFITS, INC.
|
41
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-03-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
2088823567
|
| Plan sponsor’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843
|
Plan administrator’s name and address
| Administrator’s EIN |
820530325 |
| Plan administrator’s name |
CCBENEFITS, INC. |
| Plan administrator’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843 |
| Administrator’s telephone number |
2088823567 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-25 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-08-25 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CCBENEFITS, INC. 401(K) PLAN
|
2009
|
820530325
|
2010-06-24
|
CCBENEFITS, INC.
|
40
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-03-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
2088823567
|
| Plan sponsor’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843
|
Plan administrator’s name and address
| Administrator’s EIN |
820530325 |
| Plan administrator’s name |
CCBENEFITS, INC. |
| Plan administrator’s
address |
1187 ALTURAS DRIVE, MOSCOW, ID, 83843 |
| Administrator’s telephone number |
2088823567 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-24 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-06-24 |
| Name of individual signing |
KJELL CHRISTOPHERSEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
