CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2011
|
593741812
|
2012-03-13
|
CUSTOM CONCEPTS LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
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 |
2012-03-13 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2011
|
593741812
|
2012-03-13
|
CUSTOM CONCEPTS LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
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 |
2012-03-13 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2010
|
593741812
|
2011-08-18
|
CUSTOM CONCEPTS LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
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 |
2011-08-18 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2010
|
593741812
|
2011-07-20
|
CUSTOM CONCEPTS LLC
|
22
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
20 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
20 |
Signature of
Role |
Plan administrator |
Date |
2011-07-20 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2010
|
593741812
|
2011-07-20
|
CUSTOM CONCEPTS LLC
|
22
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
20 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
20 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-07-20 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2009
|
593741812
|
2011-08-18
|
CUSTOM CONCEPTS LLC
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
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 |
2011-08-18 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CUSTOM CONCEPTS LLC 401 K PROFIT SHARING PLAN & TRUST
|
2009
|
593741812
|
2011-08-16
|
CUSTOM CONCEPTS LLC
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
423100
|
Sponsor’s telephone number |
4078803610
|
Plan sponsor’s mailing address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan sponsor’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703
|
Plan administrator’s name and address
Administrator’s EIN |
593741812 |
Plan administrator’s name |
CUSTOM CONCEPTS LLC |
Plan administrator’s
address |
1676 E SEMORAN BLVD, APOPKA, FL, 32703 |
Administrator’s telephone number |
4078803610 |
Number of participants as of the end of the plan year
Active participants |
2 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
2 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-08-16 |
Name of individual signing |
ROBERT CZESNAKOWICZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|