|
SHIRLEY D. SACK, LTD. RETIREMENT PLAN
|
2011
|
133160875
|
2012-07-03
|
SHIRLEY D. SACK, LTD.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-31
|
| Business code |
812990
|
| Sponsor’s telephone number |
5163648414
|
| Plan sponsor’s mailing address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
| Plan sponsor’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
Plan administrator’s name and address
| Administrator’s EIN |
133160875 |
| Plan administrator’s name |
SHIRLEY D. SACK, LTD. |
| Plan administrator’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791 |
| Administrator’s telephone number |
5163648414 |
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 |
2012-07-03 |
| Name of individual signing |
SHIRLEY SACK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHIRLEY D. SACK, LTD. RETIREMENT PLAN
|
2010
|
133160875
|
2011-09-12
|
SHIRLEY D. SACK, LTD.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-31
|
| Business code |
812990
|
| Sponsor’s telephone number |
5163648414
|
| Plan sponsor’s mailing address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
| Plan sponsor’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
Plan administrator’s name and address
| Administrator’s EIN |
133160875 |
| Plan administrator’s name |
SHIRLEY D. SACK, LTD. |
| Plan administrator’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791 |
| Administrator’s telephone number |
5163648414 |
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 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-12 |
| Name of individual signing |
SHIRLEY SACK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SHIRLEY D. SACK, LTD. RETIREMENT PLAN
|
2009
|
133160875
|
2010-11-12
|
SHIRLEY D. SACK, LTD.
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1986-01-31
|
| Business code |
812990
|
| Sponsor’s telephone number |
5163648414
|
| Plan sponsor’s mailing address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
| Plan sponsor’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791
|
Plan administrator’s name and address
| Administrator’s EIN |
133160875 |
| Plan administrator’s name |
SHIRLEY D. SACK, LTD. |
| Plan administrator’s
address |
P.O. BOX 1013, SYOSSET, NY, 11791 |
| Administrator’s telephone number |
5163648414 |
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 |
2010-11-12 |
| Name of individual signing |
SHIRLEY SACK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
