|
PALM COAST KITCHENS 401(K) PROFIT SHARING PLAN & TRUST
|
2014
|
262090418
|
2017-05-14
|
PALM COAST KITCHENS
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
332210
|
| Sponsor’s telephone number |
9044137568
|
| Plan sponsor’s
address |
4695 JAVELINE CIR, MIDDLEBURG, FL, 32068
|
Signature of
| Role |
Plan administrator |
| Date |
2017-05-14 |
| Name of individual signing |
JEAN GRUND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
401K PROFIT SHARING PLAN & TRUST
|
2014
|
262090418
|
2017-12-09
|
PALM COAST KITCHENS
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
332210
|
| Sponsor’s telephone number |
9044137568
|
| Plan sponsor’s
address |
4695 JAVELINE CIR, MIDDLEBURG, FL, 32068
|
Signature of
| Role |
Plan administrator |
| Date |
2017-12-09 |
| Name of individual signing |
JEAN GRUND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALM COAST KITCHENS 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
262090418
|
2015-12-16
|
PALM COAST KITCHENS
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
332210
|
| Sponsor’s telephone number |
9044147568
|
| Plan
sponsor’s DBA name |
PALM COAST KITCHENS, LLC
|
| Plan sponsor’s
address |
4984 PALM COAST PKWY NW #3, PALM COAST, FL, 32137
|
Plan administrator’s name and address
| Administrator’s EIN |
262090418 |
| Plan administrator’s name |
JEAN GRUND |
| Plan administrator’s
address |
4695 JAVELINE CIR, MIDDLEBURG, FL, 32068 |
| Administrator’s telephone number |
9044137568 |
Signature of
| Role |
Plan administrator |
| Date |
2015-12-16 |
| Name of individual signing |
JEAN GRUND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-12-16 |
| Name of individual signing |
JEAN GRUND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
PALM COAST KITCHENS 401 K PROFIT SHARING PLAN TRUST
|
2011
|
262090418
|
2012-07-06
|
PALM COAST KITCHENS
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2011-01-01
|
| Business code |
332210
|
| Sponsor’s telephone number |
3864474052
|
| Plan sponsor’s
address |
4984 PALM COAST PKWY NW STE 3, PALM COAST, FL, 321373620
|
Plan administrator’s name and address
| Administrator’s EIN |
262090418 |
| Plan administrator’s name |
PALM COAST KITCHENS |
| Plan administrator’s
address |
4984 PALM COAST PKWY NW STE 3, PALM COAST, FL, 321373620 |
| Administrator’s telephone number |
3864474052 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-06 |
| Name of individual signing |
PALM COAST KITCHENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
