|
X-RAY COPY SERVICE, INC. PROFIT SHARING PLAN001
|
2014
|
300464845
|
2015-04-16
|
X-RAY COPY SERVICE, INC.
|
15
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3053584008
|
| Plan
sponsor’s DBA name |
X-RAY COPY SERVICE, INC.
|
| Plan sponsor’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309
|
Signature of
| Role |
Plan administrator |
| Date |
2015-04-15 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-04-15 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
X-RAY COPY SERVICE, INC. PROFIT SHARING PLAN
|
2012
|
300464845
|
2013-03-10
|
X-RAY COPY SERVICE, INC.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3053584008
|
| Plan
sponsor’s DBA name |
X-RAY COPY SERVICE, INC.
|
| Plan sponsor’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309
|
Signature of
| Role |
Plan administrator |
| Date |
2013-03-10 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
X-RAY COPY SERVICE, INC. PROFIT SHARING PLAN
|
2011
|
300464845
|
2012-03-07
|
X-RAY COPY SERVICE, INC.
|
19
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3053584008
|
| Plan
sponsor’s DBA name |
X-RAY COPY SERVICE, INC.
|
| Plan sponsor’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
| Administrator’s EIN |
300464845 |
| Plan administrator’s name |
X-RAY COPY SERVICE, INC. |
| Plan administrator’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-07 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
X-RAY COPY SERVICE, INC. PROFIT SHARING PLAN
|
2010
|
300464845
|
2011-03-17
|
X-RAY COPY SERVICE, INC.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3053584008
|
| Plan
sponsor’s DBA name |
X-RAY COPY SERVICE, INC.
|
| Plan sponsor’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
| Administrator’s EIN |
300464845 |
| Plan administrator’s name |
X-RAY COPY SERVICE, INC. |
| Plan administrator’s
address |
5430 N.W. 33 AVENUE, SUITE 102, FT. LAUDERDALE, FL, 33309 |
| Administrator’s telephone number |
3053584008 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-17 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
X-RAY COPY SERVICE, INC. PROFIT SHARING PLAN
|
2009
|
300464845
|
2010-03-22
|
X-RAY COPY SERVICE, INC.
|
23
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1993-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
3053584008
|
| Plan sponsor’s mailing address |
5430 N.W,. 33 AVENUE, SUITE 102, FT.LAUDERDALE, FL, 33309
|
| Plan sponsor’s
address |
5430 N.W,. 33 AVENUE, SUITE 102, FT.LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
| Administrator’s EIN |
300464845 |
| Plan administrator’s name |
X-RAY COPY SERVICE, INC. |
| Plan administrator’s
address |
5430 N.W,. 33 AVENUE, SUITE 102, FT.LAUDERDALE, FL, 33309 |
| Administrator’s telephone number |
3053584008 |
Number of participants as of the end of the plan year
| Active participants |
21 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
5 |
| 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 |
19 |
| 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 |
2010-03-22 |
| Name of individual signing |
TIM SCHAFFER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
