|
MSB OF DESTIN, INC. 401(K) PLAN
|
2010
|
592892932
|
2011-03-08
|
MSB OF DESTIN, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-07-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8508370404
|
| Plan
sponsor’s DBA name |
AJS SEAFOOD AND OYSTER BAR
|
| Plan sponsor’s
address |
101-A MOUNTAIN DRIVE, DESTIN, FL, 32541
|
Plan administrator’s name and address
| Administrator’s EIN |
592892932 |
| Plan administrator’s name |
MSB OF DESTIN, INC. |
| Plan administrator’s
address |
101-A MOUNTAIN DRIVE, DESTIN, FL, 32541 |
| Administrator’s telephone number |
8508370404 |
Signature of
| Role |
Plan administrator |
| Date |
2011-02-28 |
| Name of individual signing |
ELAINE NICOLL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-02-28 |
| Name of individual signing |
ELAINE NICOLL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
MSB OF DESTIN, INC. 401(K) PLAN
|
2009
|
592892932
|
2010-07-27
|
MSB OF DESTIN, INC.
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-07-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8508370404
|
| Plan
sponsor’s DBA name |
DBA AJS SEAFOOD & OYSTER BAR
|
| Plan sponsor’s
address |
101-A MOUNTAIN DRIVE, DESTIN, FL, 32541
|
Plan administrator’s name and address
| Administrator’s EIN |
592892932 |
| Plan administrator’s name |
MSB OF DESTIN, INC. |
| Plan administrator’s
address |
101-A MOUNTAIN DRIVE, DESTIN, FL, 32541 |
| Administrator’s telephone number |
8508370404 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-27 |
| Name of individual signing |
ELAINE NICOLL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-27 |
| Name of individual signing |
ELAINE NICOLL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
