TEAM CHEVROLET INC

Contact Information

POC	DEBBIE BURNS
Phone	+1 719-380-6002
Fax	+1 719-380-6059
Address	230 N ACADEMY BLVD, COLORADO SPRINGS, CO, 80909 6604, UNITED STATES

Ownership of Offeror Information

Highest Level Owner	Information not Available

Immediate Level Owner	Information not Available

List of Offerors (0)	Information not Available

File	View Page
Three-digit plan number (PN)	501
Effective date of plan	2009-04-01
Business code	441110
Sponsor’s telephone number	7195963040
Plan sponsor’s DBA name	AL SERRA CHEVROLET -SOUTH
Plan sponsor’s mailing address	PO BOX 15000, COLORADO SPRINGS, CO, 80935
Plan sponsor’s address	230 N ACADEMY BLVD, COLORADO SPRINGS, CO, 80909

Plan administrator’s name and address

Administrator’s EIN	350472300
Plan administrator’s name	THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
Plan administrator’s address	8801 INDIAN HILLS DR, OMAHA, NE, 68114
Administrator’s telephone number	8004232765

Number of participants as of the end of the plan year

Active participants

147

Signature of

Role	Plan administrator
Date	2010-07-28
Name of individual signing	JEROME COLTEN
Valid signature	Filed with authorized/valid electronic signature

Three-digit plan number (PN)	501
Effective date of plan	2009-04-01
Business code	441110
Sponsor’s telephone number	7195963040
Plan sponsor’s DBA name	AL SERRA CHEVROLET -SOUTH
Plan sponsor’s mailing address	PO BOX 15000, COLORADO SPRINGS, CO, 80935
Plan sponsor’s address	230 N ACADEMY BLVD, COLORADO SPRINGS, CO, 80909

Plan administrator’s name and address

Administrator’s EIN	350472300
Plan administrator’s name	THE LINCOLN NATIONAL LIFE INSURANCE COMPANY
Plan administrator’s address	8801 INDIAN HILLS DR, OMAHA, NE, 68114
Administrator’s telephone number	8004232765

Number of participants as of the end of the plan year

Active participants

147

Signature of

Role	Employer/plan sponsor
Date	2010-07-20
Name of individual signing	JEROME COLTEN
Valid signature	Filed with authorized/valid electronic signature