|
92 2ND STREET WEST, INC. 401K PROFIT SHARING PLAN
|
2012
|
263762641
|
2013-07-29
|
92 2ND STREET WEST, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-02
|
| Business code |
488490
|
| Sponsor’s telephone number |
9042001309
|
| Plan sponsor’s mailing address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
| Plan sponsor’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
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 |
2013-07-29 |
| Name of individual signing |
WILLIAM STALLINGS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
92 2ND STREET WEST, INC. 401K PROFIT SHARING PLAN
|
2011
|
263762641
|
2012-06-29
|
92 2ND STREET WEST, INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-02
|
| Business code |
488490
|
| Sponsor’s telephone number |
9042001309
|
| Plan sponsor’s mailing address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
| Plan sponsor’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
| Administrator’s EIN |
263762641 |
| Plan administrator’s name |
92 2ND STREET WEST, INC |
| Plan administrator’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250 |
| Administrator’s telephone number |
9042001309 |
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 |
2012-06-29 |
| Name of individual signing |
WILLIAM STALLINGS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
92 2ND STREET WEST, INC. 401K PROFIT SHARING PLAN
|
2010
|
263762641
|
2011-05-13
|
92 2ND STREET WEST, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-02
|
| Business code |
488490
|
| Sponsor’s telephone number |
9042001309
|
| Plan sponsor’s mailing address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
| Plan sponsor’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
| Administrator’s EIN |
263762641 |
| Plan administrator’s name |
92 2ND STREET WEST, INC. |
| Plan administrator’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250 |
| Administrator’s telephone number |
9042001309 |
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 |
2011-05-12 |
| Name of individual signing |
WILLIAM STALLINGS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
92 2ND STREET WEST, INC. 401K PROFIT SHARING PLAN
|
2009
|
263762641
|
2010-07-21
|
92 2ND STREET WEST, INC.
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-02
|
| Business code |
488490
|
| Sponsor’s telephone number |
9042001309
|
| Plan sponsor’s mailing address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
| Plan sponsor’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
| Administrator’s EIN |
263762641 |
| Plan administrator’s name |
92 2ND STREET WEST, INC. |
| Plan administrator’s
address |
50 3RD AVENUE SOUTH, UNIT 1102, JACKSONVILLE BEACH, FL, 32250 |
| Administrator’s telephone number |
9042001309 |
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 |
2010-07-21 |
| Name of individual signing |
WILLIAM STALLINGS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
