|
EASY WAY MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
591292257
|
2013-05-16
|
B.C. COFFEE & SUPPLIES, INC.
|
27
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-05-30
|
| Business code |
424400
|
| Sponsor’s telephone number |
5615883317
|
| Plan sponsor’s mailing address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
| Plan sponsor’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
Plan administrator’s name and address
| Administrator’s EIN |
591292257 |
| Plan administrator’s name |
B.C. COFFEE & SUPPLIES, INC. |
| Plan administrator’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460 |
| Administrator’s telephone number |
5615883317 |
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 |
2013-05-16 |
| Name of individual signing |
ADAM GOLDSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASY WAY MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
591292257
|
2012-07-30
|
B.C. COFFEE & SUPPLIES, INC.
|
31
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-05-30
|
| Business code |
424400
|
| Sponsor’s telephone number |
5615883317
|
| Plan sponsor’s mailing address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
| Plan sponsor’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
Plan administrator’s name and address
| Administrator’s EIN |
591292257 |
| Plan administrator’s name |
B.C. COFFEE & SUPPLIES, INC. |
| Plan administrator’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460 |
| Administrator’s telephone number |
5615883317 |
Number of participants as of the end of the plan year
| Active participants |
20 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
6 |
| 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 |
26 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-30 |
| Name of individual signing |
ADAM GOLDSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASY WAY MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2010
|
591292257
|
2011-10-11
|
B.C. COFFEE & SUPPLIES, INC.
|
33
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-05-30
|
| Business code |
424400
|
| Sponsor’s telephone number |
5615883317
|
| Plan sponsor’s mailing address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
| Plan sponsor’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460
|
Plan administrator’s name and address
| Administrator’s EIN |
591292257 |
| Plan administrator’s name |
B.C. COFFEE & SUPPLIES, INC. |
| Plan administrator’s
address |
2620 CARTER LANE, LAKE WORTH, FL, 33460 |
| Administrator’s telephone number |
5615883317 |
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 |
7 |
| 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 |
30 |
| 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 |
2011-10-11 |
| Name of individual signing |
ADAM GOLDSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EASY WAY MANAGEMENT, INC. 401(K) PROFIT SHARING PLAN AND TRUST
|
2009
|
591292257
|
2010-06-08
|
B.C. COFFEE & SUPPLIES, INC.
|
41
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1969-05-30
|
| Business code |
424400
|
| Sponsor’s telephone number |
5615883317
|
| Plan sponsor’s mailing address |
1407 RUPP LANE, LAKE WORTH, FL, 33460
|
| Plan sponsor’s
address |
1407 RUPP LANE, LAKE WORTH, FL, 33460
|
Plan administrator’s name and address
| Administrator’s EIN |
591292257 |
| Plan administrator’s name |
B.C. COFFEE & SUPPLIES, INC. |
| Plan administrator’s
address |
1407 RUPP LANE, LAKE WORTH, FL, 33460 |
| Administrator’s telephone number |
5615883317 |
Number of participants as of the end of the plan year
| Active participants |
28 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| 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 |
32 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
3 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-08 |
| Name of individual signing |
ADAM GOLDSTEIN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
