|
HARRISON-BLAINE, INC. EMPLOYEES' RETIREMENT PLAN
|
2011
|
136148209
|
2012-09-25
|
HARRISON-BLAINE, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-03-01
|
| Business code |
523120
|
| Sponsor’s telephone number |
3033218809
|
| Plan sponsor’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218
|
Plan administrator’s name and address
| Administrator’s EIN |
136148209 |
| Plan administrator’s name |
HARRISON-BLAINE, INC. |
| Plan administrator’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218 |
| Administrator’s telephone number |
3033218809 |
Signature of
| Role |
Plan administrator |
| Date |
2012-09-25 |
| Name of individual signing |
JAMES HARRISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-09-25 |
| Name of individual signing |
JAMES HARRISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRISON-BLAINE, INC. EMPLOYEES' RETIREMENT PLAN
|
2010
|
136148209
|
2011-10-18
|
HARRISON-BLAINE, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-03-01
|
| Business code |
523120
|
| Sponsor’s telephone number |
3033218809
|
| Plan sponsor’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218
|
Plan administrator’s name and address
| Administrator’s EIN |
136148209 |
| Plan administrator’s name |
HARRISON-BLAINE, INC. |
| Plan administrator’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218 |
| Administrator’s telephone number |
3033218809 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-18 |
| Name of individual signing |
JAMES HARRISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARRISON-BLAINE, INC. EMPLOYEES' RETIREMENT PLAN
|
2009
|
136148209
|
2010-10-28
|
HARRISON-BLAINE, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1977-03-01
|
| Business code |
523120
|
| Sponsor’s telephone number |
3033218809
|
| Plan sponsor’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218
|
Plan administrator’s name and address
| Administrator’s EIN |
136148209 |
| Plan administrator’s name |
HARRISON-BLAINE, INC. |
| Plan administrator’s
address |
772 HUMBOLDT STREET, DENVER, CO, 80218 |
| Administrator’s telephone number |
3033218809 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-28 |
| Name of individual signing |
JAMES HARRISON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
