|
FORTH SPORT FLOORS INC
|
2012
|
202018067
|
2013-07-31
|
FORTH SPORT FLOORS INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541400
|
| Plan sponsor’s mailing address |
P.O. BOX 74, 282 HAYS ROAD, EAST GREENBUSH, NY, 12061
|
| Plan sponsor’s
address |
P.O. BOX 74, 282 HAYS ROAD, EAST GREENBUSH, NY, 12061
|
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 |
2013-07-31 |
| Name of individual signing |
MARGARET FORTH |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FORTH SPORT FLOORS INC. 401K PROFIT SHARING PLAN & TRUST
|
2011
|
202018067
|
2012-07-17
|
FORTH SPORT FLOORS INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
5184418783
|
| Plan sponsor’s
address |
P.O. BOX 74, EAST GREENBUSH, NY, 12061
|
Plan administrator’s name and address
| Administrator’s EIN |
202018067 |
| Plan administrator’s name |
FORTH SPORT FLOORS INC. |
| Plan administrator’s
address |
P.O. BOX 74, EAST GREENBUSH, NY, 12061 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-17 |
| Name of individual signing |
MARGARET FORTH |
|
|
|
FORTH SPORT FLOORS INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
202018067
|
2011-07-19
|
FORTH SPORT FLOORS INC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
5184418783
|
| Plan sponsor’s
address |
PO BOX 74, EAST GREENBUSH, NY, 120610000
|
Plan administrator’s name and address
| Administrator’s EIN |
202018067 |
| Plan administrator’s name |
FORTH SPORT FLOORS INC |
| Plan administrator’s
address |
PO BOX 74, EAST GREENBUSH, NY, 120610000 |
| Administrator’s telephone number |
5184418783 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
FORTH SPORT FLOORS INC |
|
|
|
FORTH SPORT FLOORS INC
|
2009
|
202018067
|
2010-06-16
|
FORTH SPORT FLOORS INC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
541400
|
| Sponsor’s telephone number |
5184418783
|
| Plan sponsor’s
address |
PO BOX 74, EAST GREENBUSH, NY, 120610000
|
Plan administrator’s name and address
| Administrator’s EIN |
202018067 |
| Plan administrator’s name |
FORTH SPORT FLOORS INC |
| Plan administrator’s
address |
PO BOX 74, EAST GREENBUSH, NY, 120610000 |
| Administrator’s telephone number |
5184418783 |
Signature of
| Role |
Plan administrator |
| Date |
2010-06-16 |
| Name of individual signing |
FORTH SPORT FLOORS INC |
|
|
