|
ROGER BURKS, INC. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
592107771
|
2010-07-21
|
ROGER BURKS, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1993-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
2392759091
|
| Plan sponsor’s
address |
11751-2 METRO PARKWAY, FORT MYERS, FL, 33912
|
Plan administrator’s name and address
| Administrator’s EIN |
592107771 |
| Plan administrator’s name |
ROGER BURKS, INC. |
| Plan administrator’s
address |
11751-2 METRO PARKWAY, FORT MYERS, FL, 33912 |
| Administrator’s telephone number |
2392759091 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
ROGER BURKS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-21 |
| Name of individual signing |
ROGER BURKS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ROGER BURKS, INC. DEFINED BENEFIT PENSION PLAN AND TRUST
|
2009
|
592107771
|
2010-07-21
|
ROGER BURKS, INC.
|
3
|
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1993-01-01
|
| Business code |
236200
|
| Sponsor’s telephone number |
2392759091
|
| Plan sponsor’s
address |
11751-2 METRO PARKWAY, FORT MYERS, FL, 33912
|
Plan administrator’s name and address
| Administrator’s EIN |
592107771 |
| Plan administrator’s name |
ROGER BURKS, INC. |
| Plan administrator’s
address |
11751-2 METRO PARKWAY, FORT MYERS, FL, 33912 |
| Administrator’s telephone number |
2392759091 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-21 |
| Name of individual signing |
ROGER BURKS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-21 |
| Name of individual signing |
ROGER BURKS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
