LAKE CITY MOTOR PARTS, INC. 401(K) PLAN
|
2013
|
591091739
|
2014-11-18
|
LAKE CITY MOTOR PARTS, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
3867526433
|
Plan sponsor’s
address |
296 SW NASSAU STREET, LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2014-11-18 |
Name of individual signing |
NICK SUTHEIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CITY MOTOR PARTS, INC. 401(K) PLAN
|
2013
|
591091739
|
2014-07-16
|
LAKE CITY MOTOR PARTS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
3867526433
|
Plan sponsor’s
address |
296 SW NASSAU STREET, LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2014-07-16 |
Name of individual signing |
ROSE RAJKOWSKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CITY MOTOR PARTS INC 401K PLAN
|
2012
|
591091739
|
2013-05-31
|
LAKE CITY MOTOR PARTS INC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
3867526433
|
Plan sponsor’s
address |
296 SW NASSAU STREET, LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2013-05-31 |
Name of individual signing |
RACHEL BOSWORTH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CITY MOTOR PARTS INC 401K PLAN
|
2011
|
591091739
|
2012-07-25
|
LAKE CITY MOTOR PARTS INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
3867526433
|
Plan sponsor’s
address |
296 SW NASSAU STREET, LAKE CITY, FL, 32025
|
Plan administrator’s name and address
Administrator’s EIN |
591091739 |
Plan administrator’s name |
LAKE CITY MOTOR PARTS INC |
Plan administrator’s
address |
296 SW NASSAU STREET, LAKE CITY, FL, 32025 |
Administrator’s telephone number |
3867526433 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
NICK SUTHEIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
LAKE CITY MOTOR PARTS INC 401K PLAN
|
2010
|
591091739
|
2011-08-02
|
LAKE CITY MOTOR PARTS INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2009-01-01
|
Business code |
441300
|
Sponsor’s telephone number |
3867526433
|
Plan sponsor’s
address |
296 SW NASSAU ST, LAKE CITY, FL, 32025
|
Plan administrator’s name and address
Administrator’s EIN |
591091739 |
Plan administrator’s name |
LAKE CITY MOTOR PARTS INC |
Plan administrator’s
address |
296 SW NASSAU ST, LAKE CITY, FL, 32025 |
Administrator’s telephone number |
3867526433 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
NICK SUTHEIMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|