|
KING PROVISION CORPORATION 401(K) PROFIT SHARING AND TRUST
|
2012
|
591283120
|
2013-02-01
|
KING PROVISION CORPORATION
|
46
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1964-01-01
|
| Business code |
424400
|
| Sponsor’s telephone number |
9045437074
|
| Plan sponsor’s mailing address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
| Plan sponsor’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
| Administrator’s EIN |
591283120 |
| Plan administrator’s name |
KING PROVISION CORPORATION |
| Plan administrator’s
address |
220 POINTE VEDRA PARK DRIVE SUITE 1, PONTE VEDRA BEACH, FL, 32082 |
| Administrator’s telephone number |
9045437074 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| 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 |
2013-02-01 |
| Name of individual signing |
ANN SIKES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-02-01 |
| Name of individual signing |
ANN SIKES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KING PROVISION CORPORATION 401(K) PROFIT SHARING AND TRUST
|
2011
|
591283120
|
2012-05-25
|
KING PROVISION CORPORATION
|
54
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1964-01-01
|
| Business code |
424400
|
| Sponsor’s telephone number |
9045437074
|
| Plan sponsor’s mailing address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
| Plan sponsor’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
| Administrator’s EIN |
591283120 |
| Plan administrator’s name |
KING PROVISION CORPORATION |
| Plan administrator’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082 |
| Administrator’s telephone number |
9045437074 |
Number of participants as of the end of the plan year
| Active participants |
23 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
23 |
| 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 |
34 |
| 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 |
2012-05-25 |
| Name of individual signing |
ANN SIKES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KING PROVISION CORPORATION 401(K) PROFIT SHARING AND TRUST
|
2010
|
591283120
|
2011-05-05
|
KING PROVISION CORPORATION
|
55
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1964-01-01
|
| Business code |
424400
|
| Sponsor’s telephone number |
9045437074
|
| Plan sponsor’s mailing address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
| Plan sponsor’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
| Administrator’s EIN |
591283120 |
| Plan administrator’s name |
KING PROVISION CORPORATION |
| Plan administrator’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082 |
| Administrator’s telephone number |
9045437074 |
Number of participants as of the end of the plan year
| Active participants |
26 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
28 |
| 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 |
41 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-05 |
| Name of individual signing |
ANN SIKES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KING PROVISION CORPORATION 401(K) PROFIT SHARING AND TRUST
|
2009
|
591283120
|
2010-04-28
|
KING PROVISION CORPORATION
|
65
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1964-01-01
|
| Business code |
424400
|
| Sponsor’s telephone number |
9045437074
|
| Plan sponsor’s mailing address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
| Plan sponsor’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
| Administrator’s EIN |
591283120 |
| Plan administrator’s name |
KING PROVISION CORPORATION |
| Plan administrator’s
address |
220 POINTE VEDRA PARK DRIVE, SUITE 160, PONTE VEDRA BEACH, FL, 32082 |
| Administrator’s telephone number |
9045437074 |
Number of participants as of the end of the plan year
| Active participants |
26 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
29 |
| 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 |
42 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-04-28 |
| Name of individual signing |
ANN SIKES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
