KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2023
|
650247929
|
2024-06-07
|
KOSMIC OF KEY WEST, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2024-06-07 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-07 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K)
|
2023
|
650247929
|
2024-09-23
|
KOSMIC OF KEY WEST, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2024-09-23 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-23 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2022
|
650247929
|
2023-05-22
|
KOSMIC OF KEY WEST, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2023-05-22 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-22 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2021
|
650247929
|
2022-05-03
|
KOSMIC OF KEY WEST, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2022-05-03 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-03 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2020
|
650247929
|
2021-06-22
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2021-06-22 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-22 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2019
|
650247929
|
2020-05-07
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2020-05-07 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-05-07 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2018
|
650247929
|
2019-06-03
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2019-06-03 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-06-03 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2017
|
650247929
|
2018-05-04
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2018-05-04 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2016
|
650247929
|
2017-06-15
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2017-06-15 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KOSMIC OF KEY WEST, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
650247929
|
2016-06-23
|
KOSMIC OF KEY WEST, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
713900
|
Sponsor’s telephone number |
3052944123
|
Plan sponsor’s
address |
1029 TRUMAN AVENUE, KEY WEST, FL, 33040
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
CHANCE BLATT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|