|
KELLER OUTDOOR INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
592921206
|
2011-10-13
|
KELLER OUTDOOR INC
|
82
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
115110
|
| Sponsor’s telephone number |
4073302750
|
| Plan sponsor’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 327736608
|
Plan administrator’s name and address
| Administrator’s EIN |
592921206 |
| Plan administrator’s name |
KELLER OUTDOOR INC |
| Plan administrator’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 327736608 |
| Administrator’s telephone number |
4073302750 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-13 |
| Name of individual signing |
KELLER OUTDOOR INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KELLER OUTDOOR INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
592921206
|
2011-10-13
|
KELLER OUTDOOR INC
|
82
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
115110
|
| Sponsor’s telephone number |
4073302750
|
| Plan sponsor’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 327736608
|
Plan administrator’s name and address
| Administrator’s EIN |
592921206 |
| Plan administrator’s name |
KELLER OUTDOOR INC |
| Plan administrator’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 327736608 |
| Administrator’s telephone number |
4073302750 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-13 |
| Name of individual signing |
KELLER OUTDOOR INC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KELLER OUTDOOR INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
592921206
|
2012-07-24
|
KELLER OUTDOOR INC.
|
122
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
115110
|
| Sponsor’s telephone number |
4073302750
|
| Plan sponsor’s mailing address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
| Plan sponsor’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
Plan administrator’s name and address
| Administrator’s EIN |
592921206 |
| Plan administrator’s name |
KELLER OUTDOOR INC. |
| Plan administrator’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773 |
| Administrator’s telephone number |
4073302750 |
Number of participants as of the end of the plan year
| Active participants |
97 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| 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 |
2012-07-24 |
| Name of individual signing |
ANGEL RABURN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KELLER OUTDOOR INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
592921206
|
2011-10-26
|
KELLER OUTDOOR INC.
|
122
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
115110
|
| Sponsor’s telephone number |
4073302750
|
| Plan sponsor’s mailing address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
| Plan sponsor’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
Plan administrator’s name and address
| Administrator’s EIN |
592921206 |
| Plan administrator’s name |
KELLER OUTDOOR INC. |
| Plan administrator’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773 |
| Administrator’s telephone number |
4073302750 |
Number of participants as of the end of the plan year
| Active participants |
97 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| 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 |
2011-10-26 |
| Name of individual signing |
JUDY GILLMOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
KELLER OUTDOOR INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
592921206
|
2011-10-26
|
KELLER OUTDOOR INC.
|
122
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
115110
|
| Sponsor’s telephone number |
4073302750
|
| Plan sponsor’s mailing address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
| Plan sponsor’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773
|
Plan administrator’s name and address
| Administrator’s EIN |
592921206 |
| Plan administrator’s name |
KELLER OUTDOOR INC. |
| Plan administrator’s
address |
2150 MARQUETTE AVE, SANFORD, FL, 32773 |
| Administrator’s telephone number |
4073302750 |
Number of participants as of the end of the plan year
| Active participants |
97 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
1 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| 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 |
2011-10-26 |
| Name of individual signing |
JUDY GILLMOR |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
