TRUSTEE OR CUSTODIAN. Option A: [ ] Financial Organization as Trustee or Custodian Check One: [ ] Custodian, [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ Signature ______________________________________________________________________ Type Name ______________________________________________________________________ Collective or Commingled Funds List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). ________________________________________________________________________________ ________________________________________________________________________________ Option B: [ ] Individual Trustee(s) Signature ___________________________ Signature _____________________________ Type Name ___________________________ Type Name _____________________________ Signature ___________________________ Signature _____________________________ Type Name ___________________________ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401
Appears in 1 contract
TRUSTEE OR CUSTODIAN. Option OPTION A: [ ] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ Signature ______________________________________________________________________ Type Name ______________________________________________________________________ Collective or Commingled Funds COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicableCOMPLETE IF APPLICABLE). _________________________________________________________-------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Option B: [X] Individual Trustee(s) Signature /s/ STEVEN W. LOGAN Signature _______________________ _________________________________________________________Type N▇▇▇ ▇▇▇▇▇▇ W. LOGAN Type Name _______________________ Option B: [ ] Individual Trustee(s) Signature _______Signat▇▇▇ ____________________ Signature _______________________ Type Name ____________________ Type Name ___________________________ Type Name _____________________________ Signature ___________________________ Signature _____________________________ Type Name ___________________________ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401
Appears in 1 contract
TRUSTEE OR CUSTODIAN. Option OPTION A: [ ] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, . [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ Signature ______________________________________________________________________ Type Name ______________________________________________________________________ Collective or Commingled Funds COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). ________________________________________________________________________________ ________________________________________________________________________________ Option B: [ OPTION B [X] Individual Trustee(s) Signature /s/ Bruc▇ ▇. ▇▇▇▇▇▇▇▇ Signature ______________________________ --------------------- Type Name Bruc▇ ▇. ▇▇▇▇▇▇▇▇ Type Name ______________________________ --------------------- Signature _____________________ Signature ______________________________ Type Name ___________________________ Type Name _____________________________ Signature ___________________________ Signature _____________________________ Type Name ___________________________ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401
Appears in 1 contract
Sources: 401(k) Profit Sharing Plan Adoption Agreement (Compdent Corp)
TRUSTEE OR CUSTODIAN. Option A: OPTION A. [ ] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ ------------------------------------------- Signature ______________________________________________________________________ --------------------------------------------------------- Type Name ______________________________________________________________________ Collective or Commingled Funds --------------------------------------------------------- COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicableCOMPLETE IF APPLICABLE). ________________________________________________________________________________ ________________________________________________________________________________ Option B: [ ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ OPTION B. [X] Individual Trustee(s) Signature ___________________________ Signature _____________________________ ------------------ ------------------ Type Name ___________________________ ▇▇▇▇ ▇▇▇▇▇▇▇ Type Name _____________________________ ▇▇▇▇▇▇ ▇▇▇▇▇▇▇ ------------------ ------------------ Signature ___________________________ Signature _____________________________ ------------------ ------------------ Type Name ___________________________ ▇▇▇▇▇▇▇ ▇▇▇▇▇▇ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401------------------ ------------------
Appears in 1 contract
Sources: 401(k) Profit Sharing Plan Adoption Agreement (Miami Computer Supply Corp)
TRUSTEE OR CUSTODIAN. Option OPTION A: [ ] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, Custodian [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ -------------------------------------------- Signature ______________________________________________________________________ ---------------------------------------------------------- Type Name ______________________________________________________________________ Collective or Commingled Funds COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). _____________________________________.___________________________________________ ________________________________________________________________________________ Option OPTION B: [ ] X Individual Trustee(s) --- Signature ___________________________ /s/ Will▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Signature _____________________________ /s/ Jame▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------- --------------------------- Type Name ___________________________ Will▇▇▇ ▇. ▇▇▇▇▇▇▇▇ Type Name _____________________________ Jame▇ ▇. ▇▇▇▇▇▇▇▇ --------------------------- --------------------------- Signature ___________________________ /s/ Chri▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Signature _____________________________ /s/ Robe▇▇ ▇. ▇▇▇▇▇▇▇▇, ▇▇. --------------------------- --------------------------- Type Name ___________________________ Chri▇▇▇▇▇▇▇ ▇. ▇▇▇▇▇▇ Type Name _____________________________ 'c' 1996 Universal PensionsRobe▇▇ ▇. ▇▇▇▇▇▇▇▇, Inc., Brainerd, MN 56401▇▇. --------------------------- ---------------------------
Appears in 1 contract
Sources: Qualified Retirement Plan and Trust (Meritage Hospitality Group Inc /Mi/)
TRUSTEE OR CUSTODIAN. Option A: OPTION A. [ ] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ ------------------------------------- Signature ______________________________________________________________________ --------------------------------------------------- Type Name ______________________________________________________________________ Collective or Commingled Funds --------------------------------------------------- COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). ________________________________________________________________________________ ________________________________________________________________________________ Option B: [ ------------------------------------------------------------- ------------------------------------------------------------- OPTION B. [X] Individual Trustee(s) Signature ___________________________ /s/ Barb▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ Signature _____________________________ /s/ Don ▇▇▇▇▇▇▇▇ --------------------------- -------------------------- Type Name ___________________________ Barb▇▇▇ ▇. ▇▇▇▇▇▇▇▇▇▇▇ Type Name _____________________________ Don ▇▇▇▇▇▇▇▇ --------------------------- ------------------------- Signature ___________________________ /s/ Doug ▇▇▇▇▇ Signature _____________________________ --------------------------- -------------------------- Type Name ___________________________ Doug ▇▇▇▇▇ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401--------------------------- --------------------------
Appears in 1 contract
Sources: Comprehensive Standardized 401(k) Profit Sharing Plan Adoption Agreement (Edutrek Int Inc)
TRUSTEE OR CUSTODIAN. Option OPTION A: [ [X] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ ] Custodian, [ [X] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ Organization: Investors Bank and Trust Signature ______________________________________________________________________ Type /s/ Mark ▇. ▇▇▇▇▇▇▇ ▇▇pe Name ______________________________________________________________________ Collective or Commingled Funds Mark ▇. ▇▇▇▇▇▇▇ ▇▇ agent for Investors Bank and Trust COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). ________________________________________________________________________________ ________________________________________________________________________________ Option ---------------------------- OPTION B: [ ] Individual Trustee(s) Signature ___________________________ Signature _____________________________ -------------------------------- ----------------------------- Type Name ___________________________ Type Name _____________________________ -------------------------------- ----------------------------- Signature ___________________________ Signature _____________________________ -------------------------------- ----------------------------- Type Name ___________________________ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401-------------------------------- ----------------------------- [ ]
Appears in 1 contract
TRUSTEE OR CUSTODIAN. Option OPTION A: [ [X] Financial Organization as Trustee or Custodian Check OneCHECK ONE: [ [X] Custodian, [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization _________________________________________________________ SMIT▇ ▇▇▇▇▇▇ --------------------------------------------------------- Signature ______________________________________________________________________ ---------------------------------------------------------------------- Type Name ______________________________________________________________________ Collective or Commingled Funds ---------------------------------------------------------------------- COLLECTIVE OR COMMINGLED FUNDS List any collective or commingled funds maintained by the financial organization Trustee in which assets of the Plan may be invested (Complete if applicable). ________________________________________________________________________________ ________________________________________________________________________________ Option -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- OPTION B: [ [X] Individual Trustee(s) Signature ___________________________ /s/ Elma ▇. ▇▇▇▇▇▇▇ Signature _____________________________ ----------------------- ---------------------------- Type Name ___________________________ /s/ Elma ▇. ▇▇▇▇▇▇▇ Type Name _____________________________ ----------------------- ---------------------------- Signature ___________________________ Signature _____________________________ ----------------------- ---------------------------- Type Name ___________________________ Type Name _____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401----------------------- ----------------------------
Appears in 1 contract
Sources: 401(k) Profit Sharing Plan Adoption Agreement (Antigenics Inc /De/)