|
DS LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
030564276
|
2016-12-29
|
DS, LLC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
5619675100
|
| Plan
sponsor’s DBA name |
SALON BELLA VITA
|
| Plan sponsor’s
address |
6420 LAKE WORTH ROAD, GREENACRES, FL, 334633008
|
Signature of
| Role |
Plan administrator |
| Date |
2016-12-29 |
| Name of individual signing |
CHARLES DIPARDO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DS LLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
030564276
|
2014-07-16
|
DS LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
5619675100
|
| Plan sponsor’s
address |
6420 LAKE WORTH RD, GREENACRES, FL, 334633008
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-16 |
| Name of individual signing |
DAWN D'AMATO |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DS, LLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
030564276
|
2013-06-11
|
DS, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
5619675100
|
| Plan sponsor’s
address |
6420 LAKE WORTH RD, GREENACRES, FL, 334633008
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-11 |
| Name of individual signing |
DS, LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DS, LLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
030564276
|
2012-07-26
|
DS, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
812990
|
| Sponsor’s telephone number |
5619675100
|
| Plan sponsor’s
address |
6420 LAKE WORTH RD, GREENACRES, FL, 334633008
|
Plan administrator’s name and address
| Administrator’s EIN |
030564276 |
| Plan administrator’s name |
DS, LLC |
| Plan administrator’s
address |
6420 LAKE WORTH RD, GREENACRES, FL, 334633008 |
| Administrator’s telephone number |
5619675100 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-26 |
| Name of individual signing |
DS, LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
