|
FGM ENTERPRISE INC. RETIREMENT PLAN
|
2021
|
371841539
|
2023-06-17
|
FGM ENTERPRISE INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-11-03
|
| Business code |
541800
|
| Sponsor’s telephone number |
9145526472
|
| Plan sponsor’s mailing address |
103C HERITAGE HLS, SOMERS, NY, 105891316
|
| Plan sponsor’s
address |
103C HERITAGE HLS, SOMERS, NY, 105891316
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
1 |
| 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 |
2023-06-17 |
| Name of individual signing |
FRANCES CICOGNA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FGM ENTERPRISE INC. RETIREMENT PLAN
|
2020
|
371841539
|
2022-04-21
|
FGM ENTERPRISE INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-11-03
|
| Business code |
541800
|
| Sponsor’s telephone number |
9145526472
|
| Plan
sponsor’s DBA name |
FGM ENTERPRISE INC.
|
| Plan sponsor’s mailing address |
103 HERITAGE HLS UNIT C, SOMERS, NY, 105891326
|
| Plan sponsor’s
address |
103 HERITAGE HLS UNIT C, SOMERS, NY, 105891326
|
Plan administrator’s name and address
| Administrator’s EIN |
371841539 |
| Plan administrator’s name |
FRANCES CICOGNA |
| Plan administrator’s
address |
103 HERITAGE HLS UNIT C, SOMERS, NY, 105891326 |
| Administrator’s telephone number |
9145526472 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
1 |
| 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 |
2022-04-21 |
| Name of individual signing |
FRANCES CICOGNA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FGM ENTERPRISE INC. RETIREMENT PLAN
|
2019
|
371841539
|
2022-04-21
|
FGM ENTERPRISE INC.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2016-11-03
|
| Business code |
541800
|
| Sponsor’s telephone number |
9145526472
|
| Plan sponsor’s mailing address |
103 HERITAGE HLS UNIT C, SOMERS, NY, 105891326
|
| Plan sponsor’s
address |
103 HERITAGE HLS UNIT C, SOMERS, NY, 105891326
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
1 |
| 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 |
2022-04-21 |
| Name of individual signing |
FRANCES CICOGNA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
