TRUSTEE OR CUSTODIAN. OPTION A: [X] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Signature /s/ Mark X. Xxxxxxx Xxpe Name Mark X. Xxxxxxx xx 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 B: [ ] Individual Trustee(s) Signature Signature -------------------------------- ----------------------------- Type Name Type Name -------------------------------- ----------------------------- Signature Signature -------------------------------- ----------------------------- Type Name Type Name -------------------------------- ----------------------------- [ ]
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TRUSTEE OR CUSTODIAN. OPTION A: [X[ ] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [XCustodian [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization -------------------------------------------- Signature /s/ Mark X. Xxxxxxx Xxpe ---------------------------------------------------------- Type Name Mark X. Xxxxxxx xx 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 B: [ ] X Individual Trustee(s) --- Signature /s/ Willxxx X. Xxxxxxxx Signature -------------------------------- ----------------------------- /s/ Jamex X. Xxxxxxxx --------------------------- --------------------------- Type Name Willxxx X. Xxxxxxxx Type Name -------------------------------- ----------------------------- Jamex X. Xxxxxxxx --------------------------- --------------------------- Signature /s/ Chrixxxxxxx X. Xxxxxx Signature -------------------------------- ----------------------------- /s/ Robexx X. Xxxxxxxx, Xx. --------------------------- --------------------------- Type Name Chrixxxxxxx X. Xxxxxx Type Name -------------------------------- ----------------------------- [ ]Robexx X. Xxxxxxxx, Xx. --------------------------- ---------------------------
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Samples: Qualified Retirement Plan and Trust (Meritage Hospitality Group Inc /Mi/)
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: Investors Bank and Trust Organization _________________________________________________________ Signature /s/ Mark X. Xxxxxxx Xxpe ______________________________________________________________________ Type Name Mark X. Xxxxxxx xx agent for Investors Bank and Trust 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: [ ] Individual Trustee(s) Signature ___________________________ Signature -------------------------------- ----------------------------- _____________________________ Type Name ___________________________ Type Name -------------------------------- ----------------------------- _____________________________ Signature ___________________________ Signature -------------------------------- ----------------------------- _____________________________ Type Name ___________________________ Type Name -------------------------------- ----------------------------- [ ]_____________________________ 'c' 1996 Universal Pensions, Inc., Brainerd, MN 56401
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TRUSTEE OR CUSTODIAN. OPTION A: [X] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X] Trustee without full trust powerspowers or, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization SEE ATTACHED ADDENDUM ----------------------------------------------------------------------------------------------------------- Signature /s/ Mark X. Xxxxxxx Xxpe ------------------------------------------------------------------------------------------------------------------------- Type Name Mark X. Xxxxxxx xx 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). ---------------------------- COLLECTIVE TRUST FUNDS OF SALOMON SMITH BARNEY AND/OR THE TRAVELERS --------------------------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------------------------------------------------------ OPTION B: [ ] Individual Trustee(s) Signature Signature -------------------------------- ----------------------------- ------------------------------------------------------- ----------------------------------------------------- Type Name Type Name -------------------------------- ----------------------------- ------------------------------------------------------- ----------------------------------------------------- Signature Signature -------------------------------- ----------------------------- ------------------------------------------------------- ----------------------------------------------------- Type Name name Type Name -------------------------------- ----------------------------- [ ]name ------------------------------------------------------- -----------------------------------------------------
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TRUSTEE OR CUSTODIAN. OPTION A: [X[ ] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X[ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization _________________________________________________ Signature /s/ Mark X. Xxxxxxx Xxpe ______________________________________________________________ Type Name Mark X. Xxxxxxx xx 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 applicableCOMPLETE IF APPLICABLE). ---------------------------- OPTION -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Option B: [ [X] Individual Trustee(s) Signature /s/ STEVEN W. LOGAN Signature -------------------------------- ----------------------------- _______________________ Type Nxxx XXXXXX W. LOGAN Type Name _______________________ Signatxxx ____________________ Signature _______________________ Type Name -------------------------------- ----------------------------- Signature Signature -------------------------------- ----------------------------- ____________________ Type Name Type Name -------------------------------- ----------------------------- [ ]_______________________
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TRUSTEE OR CUSTODIAN. OPTION A: [XA. [ ] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X[ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization ------------------------------------- Signature /s/ Mark X. Xxxxxxx Xxpe --------------------------------------------------- Type Name Mark X. Xxxxxxx xx 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 B: [ B. [X] Individual Trustee(s) Signature /s/ Barbxxx X. Xxxxxxxxxxx Signature -------------------------------- ----------------------------- /s/ Don Xxxxxxxx --------------------------- -------------------------- Type Name Barbxxx X. Xxxxxxxxxxx Type Name -------------------------------- ----------------------------- Don Xxxxxxxx --------------------------- ------------------------- Signature /s/ Doug Xxxxx Signature -------------------------------- ----------------------------- --------------------------- -------------------------- Type Name Doug Xxxxx Type Name -------------------------------- ----------------------------- [ ]--------------------------- --------------------------
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Samples: Comprehensive Standardized 401(k) Profit Sharing Plan Adoption Agreement (Edutrek Int Inc)
TRUSTEE OR CUSTODIAN. OPTION A: [X] Financial Organization as Trustee or Custodian CHECK ONE: [ [X] Custodian, [X[ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization SMITX XXXXXX --------------------------------------------------------- Signature /s/ Mark X. Xxxxxxx Xxpe ---------------------------------------------------------------------- Type Name Mark X. Xxxxxxx xx 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 B: [ [X] Individual Trustee(s) Signature /s/ Elma X. Xxxxxxx Signature -------------------------------- ----------------------------- ----------------------- ---------------------------- Type Name /s/ Elma X. Xxxxxxx Type Name ----------------------- ---------------------------- Signature Signature ----------------------- ---------------------------- Type Name Type Name -------------------------------- ----------------------------- Signature Signature -------------------------------- ----------------------------- Type Name Type Name -------------------------------- ----------------------------- [ ]----------------------- ----------------------------
Appears in 1 contract
Samples: 401(k) Profit Sharing Plan Adoption Agreement (Antigenics Inc /De/)
TRUSTEE OR CUSTODIAN. OPTION A: [X[ ] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X. [ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization _________________________________________________________ Signature /s/ Mark X. Xxxxxxx Xxpe ______________________________________________________________________ Type Name Mark X. Xxxxxxx xx 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 B: [ B [X] Individual Trustee(s) Signature /s/ Brucx X. Xxxxxxxx Signature -------------------------------- ----------------------------- ______________________________ --------------------- Type Name Brucx X. Xxxxxxxx Type Name -------------------------------- ----------------------------- ______________________________ --------------------- Signature _____________________ Signature -------------------------------- ----------------------------- ______________________________ Type Name _____________________ Type Name -------------------------------- ----------------------------- [ ]______________________________
Appears in 1 contract
Samples: 401(k) Profit Sharing Plan Adoption Agreement (Compdent Corp)
TRUSTEE OR CUSTODIAN. OPTION A: [XA. [ ] Financial Organization as Trustee or Custodian CHECK ONE: [ ] Custodian, [X[ ] Trustee without full trust powers, or [ ] Trustee with full trust powers Financial Organization: Investors Bank and Trust Organization ------------------------------------------- Signature /s/ Mark X. Xxxxxxx Xxpe --------------------------------------------------------- Type Name Mark X. Xxxxxxx xx 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 applicableCOMPLETE IF APPLICABLE). ---------------------------- ------------------------------------------------------------ ------------------------------------------------------------ ------------------------------------------------------------ OPTION B: [ B. [X] Individual Trustee(s) Signature Signature -------------------------------- ----------------------------- ------------------ ------------------ Type Name Xxxx Xxxxxxx Type Name -------------------------------- ----------------------------- Xxxxxx Xxxxxxx ------------------ ------------------ Signature Signature -------------------------------- ----------------------------- ------------------ ------------------ Type Name Xxxxxxx Xxxxxx Type Name -------------------------------- ----------------------------- [ ]------------------ ------------------
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Samples: 401(k) Profit Sharing Plan Adoption Agreement (Miami Computer Supply Corp)