|
LUCKY TRAVELER INC. 401(K) PLAN
|
2020
|
814801382
|
2021-09-23
|
LUCKY TRAVELER INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-22 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-09-22 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUCKY TRAVELER INC. CASH BALANCE PLAN
|
2020
|
814801382
|
2021-09-23
|
LUCKY TRAVELER INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2021-09-22 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2021-09-22 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUCKY TRAVELER INC. CASH BALANCE PLAN
|
2018
|
814801382
|
2019-10-10
|
LUCKY TRAVELER INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-09 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUCKY TRAVELER INC. 401(K) PLAN
|
2018
|
814801382
|
2019-10-10
|
LUCKY TRAVELER INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-09 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUCKY TRAVELER INC. CASH BALANCE PLAN
|
2017
|
814801382
|
2018-07-27
|
LUCKY TRAVELER INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-26 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LUCKY TRAVELER INC. 401(K) PLAN
|
2017
|
814801382
|
2018-07-27
|
LUCKY TRAVELER INC.
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2017-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5615447050
|
| Plan sponsor’s
address |
2234 N. FEDERAL HIGHWAY PMB #536, BOCA RATON, FL, 33431
|
Signature of
| Role |
Plan administrator |
| Date |
2018-07-26 |
| Name of individual signing |
ROBERT MITZMAN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
