|
114 W. MAIN ST. INC. 401(K) PLAN
|
2010
|
113426923
|
2011-10-11
|
114 W. MAIN ST. INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-06-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
6312652622
|
| Plan sponsor’s mailing address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741
|
| Plan sponsor’s
address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741
|
Plan administrator’s name and address
| Administrator’s EIN |
113426923 |
| Plan administrator’s name |
114 W. MAIN ST. INC. |
| Plan administrator’s
address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741 |
| Administrator’s telephone number |
6312652622 |
Number of participants as of the end of the plan year
| Active participants |
9 |
| 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 |
2011-10-11 |
| Name of individual signing |
KIM STAHL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
114 W. MAIN ST. INC. 401(K) PLAN
|
2009
|
113426923
|
2010-10-06
|
114 W. MAIN ST. INC.
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-06-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
6312652622
|
| Plan sponsor’s mailing address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741
|
| Plan sponsor’s
address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741
|
Plan administrator’s name and address
| Administrator’s EIN |
113426923 |
| Plan administrator’s name |
114 W. MAIN ST. INC. |
| Plan administrator’s
address |
700 PATCHOGUE-HOLBROOK RD, HOLBROOK, NY, 11741 |
| Administrator’s telephone number |
6312652622 |
Number of participants as of the end of the plan year
| Active participants |
13 |
| 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 |
2010-10-06 |
| Name of individual signing |
KIM STAHL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
