BERN'S STEAK HOUSE 401K RETIREMENT PLAN
|
2023
|
591154419
|
2024-05-08
|
BERN'S STEAK HOUSE
|
201
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s
address |
1208 SOUTH HOWARD AVE, TAMPA, FL, 336063102
|
Signature of
Role |
Plan administrator |
Date |
2024-05-08 |
Name of individual signing |
ANTHONY WARREN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2019
|
591154419
|
2021-07-12
|
BERN'S STEAK HOUSE
|
91
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Plan sponsor’s
address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Number of participants as of the end of the plan year
Active participants |
67 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-07-12 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-12 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2018
|
591154419
|
2020-07-16
|
BERN'S STEAK HOUSE
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Plan sponsor’s
address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Number of participants as of the end of the plan year
Active participants |
91 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-15 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2017
|
591154419
|
2019-05-24
|
BERN'S STEAK HOUSE
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Plan sponsor’s
address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Number of participants as of the end of the plan year
Active participants |
87 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-05-22 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-22 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2016
|
591154419
|
2018-04-17
|
BERN'S STEAK HOUSE
|
90
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Plan sponsor’s
address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Number of participants as of the end of the plan year
Active participants |
70 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-04-16 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-04-16 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2015
|
591154419
|
2017-01-26
|
BERN'S STEAK HOUSE
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Plan sponsor’s
address |
1208 S HOWARD AVE, TAMPA, FL, 336063102
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-26 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE 401K RETIREMENT PLAN
|
2015
|
591154419
|
2016-10-11
|
BERN'S STEAK HOUSE
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s
address |
1208 SOUTH HOWARD AVE, TAMPA, FL, 336063102
|
Signature of
Role |
Plan administrator |
Date |
2016-10-11 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE PREMIUM PAYMENT PLAN
|
2014
|
591154419
|
2016-05-10
|
BERN'S STEAK HOUSE
|
88
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1990-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s mailing address |
1208 S. HOWARD AVE, TAMPA, FL, 33606
|
Plan sponsor’s
address |
1208 S. HOWARD AVE, TAMPA, FL, 33606
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-05-10 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE 401K RETIREMENT PLAN
|
2014
|
591154419
|
2015-07-30
|
BERN'S STEAK HOUSE
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
721110
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s
address |
1208 SOUTH HOWARD AVE, TAMPA, FL, 336063102
|
Signature of
Role |
Plan administrator |
Date |
2015-07-30 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERN'S STEAK HOUSE 401K RETIREMENT PLAN
|
2013
|
591154419
|
2014-07-30
|
BERN'S STEAK HOUSE
|
69
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
722300
|
Sponsor’s telephone number |
8132512421
|
Plan sponsor’s
address |
1208 SOUTH HOWARD AVE, TAMPA, FL, 336063102
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
DAVID LAXER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|