THAI ISLAND RESTAURANT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
261531780
|
2024-05-30
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
1107 KEY PLAZA BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2024-05-30 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
261531780
|
2023-05-22
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
1107 KEY PLAZA BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2023-05-22 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
261531780
|
2022-04-07
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
1107 KEY PLAZA, BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2022-04-07 |
Name of individual signing |
PHENPHAK FUTTERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
261531780
|
2021-03-31
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057970290
|
Plan sponsor’s
address |
3747 PAULA AVE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2021-03-31 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
261531780
|
2020-06-19
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
1107 KEY PLAZA, BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2020-06-19 |
Name of individual signing |
PHENPHAK FUTTERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
261531780
|
2019-03-28
|
THAI ISLAND RESTAURANT LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057970290
|
Plan sponsor’s
address |
3747 PAULA AVE, KEY WEST, FL, 33040
|
Plan administrator’s name and address
Administrator’s EIN |
261531780 |
Plan administrator’s name |
THAI ISLAND RESTAURANT LLC |
Plan administrator’s
address |
1107 KEY PLAZA, BOX 509, KEY WEST, FL, 33040 |
Administrator’s telephone number |
3052952900 |
Signature of
Role |
Plan administrator |
Date |
2019-03-28 |
Name of individual signing |
PHENPHAK FUTTERMAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
261531780
|
2018-06-22
|
THAI ISLAND RESTAURANT LLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
711 EISENHOWER DRIVE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
261531780
|
2017-05-22
|
THAI ISLAND RESTAURANT LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057970290
|
Plan sponsor’s
address |
1107 KEY PLAZA, BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2017-05-22 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
261531780
|
2016-05-24
|
THAI ISLAND RESTAURANT LLC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3057313984
|
Plan sponsor’s
address |
1107 KEY PLAZA, BOX 509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2016-05-24 |
Name of individual signing |
ALYSIA THIBAULT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
THAI ISLAND RESTAURANT LLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
261531780
|
2015-07-13
|
THAI ISLAND RESTAURANT LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
3052969198
|
Plan sponsor’s
address |
1107 KEY PLZ, #509, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2015-07-13 |
Name of individual signing |
PEDRO SPENCER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|