KISLAK EMPLOYEE SAVINGS PLAN
|
2012
|
221039750
|
2013-06-07
|
J. I. KISLAK INC.
|
209
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
7327503000
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
7327503000 |
Number of participants as of the end of the plan year
Active participants |
151 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
40 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
93 |
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 |
2013-06-07 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2012
|
221039750
|
2013-06-07
|
J. I. KISLAK INC.
|
209
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
7327503000
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
7327503000 |
Number of participants as of the end of the plan year
Active participants |
151 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
40 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
93 |
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 |
2013-06-07 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-07 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2011
|
221039750
|
2012-05-09
|
J. I. KISLAK INC.
|
186
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
7327503000
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
7327503000 |
Number of participants as of the end of the plan year
Active participants |
158 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
49 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
100 |
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 |
2012-05-09 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2010
|
221039750
|
2011-06-23
|
J. I. KISLAK INC.
|
161
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
135 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
50 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
91 |
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 |
2011-06-23 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2010
|
221039750
|
2011-06-23
|
J. I. KISLAK INC.
|
161
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
135 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
50 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
91 |
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 |
2011-06-23 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2009
|
221039750
|
2011-06-23
|
J. I. KISLAK INC.
|
175
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
101 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
60 |
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 |
96 |
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 |
2011-06-23 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2009
|
221039750
|
2011-06-22
|
J. I. KISLAK INC.
|
175
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
101 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
60 |
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 |
96 |
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 |
2011-06-22 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2009
|
221039750
|
2011-06-23
|
J. I. KISLAK INC.
|
175
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
101 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
60 |
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 |
96 |
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 |
2011-06-22 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KISLAK EMPLOYEE SAVINGS PLAN
|
2009
|
221039750
|
2010-06-03
|
J. I. KISLAK INC.
|
175
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1991-05-01
|
Business code |
531390
|
Sponsor’s telephone number |
3053644108
|
Plan sponsor’s mailing address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan sponsor’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
Administrator’s EIN |
221039750 |
Plan administrator’s name |
J. I. KISLAK INC. |
Plan administrator’s
address |
7900 MIAMI LAKES DRIVE WEST, MIAMI LAKES, FL, 33016 |
Administrator’s telephone number |
3053644108 |
Number of participants as of the end of the plan year
Active participants |
101 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
60 |
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 |
96 |
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 |
2010-06-03 |
Name of individual signing |
FRANCINE GIRIMONTE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|