|
FLOORING WORX INC. 401K PLAN
|
2011
|
263878396
|
2012-04-26
|
FLOORING WORX INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
8133410170
|
| Plan sponsor’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677
|
Plan administrator’s name and address
| Administrator’s EIN |
263878396 |
| Plan administrator’s name |
FLOORING WORX INC. |
| Plan administrator’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677 |
| Administrator’s telephone number |
8133410170 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-26 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-04-26 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLOORING WORX INC. 401K PLAN
|
2011
|
263878396
|
2012-04-26
|
FLOORING WORX INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
8133410170
|
| Plan sponsor’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677
|
Plan administrator’s name and address
| Administrator’s EIN |
263878396 |
| Plan administrator’s name |
FLOORING WORX INC. |
| Plan administrator’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677 |
| Administrator’s telephone number |
8133410170 |
Signature of
| Role |
Plan administrator |
| Date |
2012-04-26 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-04-26 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLOORING WORX INC. 401K PLAN
|
2010
|
263878396
|
2011-05-24
|
FLOORING WORX INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
8133410170
|
| Plan sponsor’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677
|
Plan administrator’s name and address
| Administrator’s EIN |
263878396 |
| Plan administrator’s name |
FLOORING WORX INC. |
| Plan administrator’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677 |
| Administrator’s telephone number |
8133410170 |
Signature of
| Role |
Plan administrator |
| Date |
2011-05-24 |
| Name of individual signing |
JENNIFER P CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-05-24 |
| Name of individual signing |
JENNIFER P CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FLOORING WORX INC. 401K PLAN
|
2009
|
263878396
|
2010-07-29
|
FLOORING WORX INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
8133410170
|
| Plan sponsor’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677
|
Plan administrator’s name and address
| Administrator’s EIN |
263878396 |
| Plan administrator’s name |
FLOORING WORX INC. |
| Plan administrator’s
address |
475 B ROBERTS ROAD, OLDSMAR, FL, 34677 |
| Administrator’s telephone number |
8133410170 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-29 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-29 |
| Name of individual signing |
JENNIFER CLARK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
