|
DON STEVENS TIRE CO., INC. 401(K) PROFIT SHARING
|
2012
|
060908046
|
2013-07-31
|
DON STEVENS TIRE CO., INC.
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
423100
|
| Sponsor’s telephone number |
8606213256
|
| Plan sponsor’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060908046 |
| Plan administrator’s name |
DON STEVENS TIRE CO., INC. |
| Plan administrator’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213256 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-31 |
| Name of individual signing |
LAURIE STEVENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DON STEVENS TIRE CO., INC. 401(K) PROFIT SHARING
|
2011
|
060908046
|
2012-07-12
|
DON STEVENS TIRE CO., INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
423100
|
| Sponsor’s telephone number |
8606213256
|
| Plan sponsor’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060908046 |
| Plan administrator’s name |
DON STEVENS TIRE CO., INC. |
| Plan administrator’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213256 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-12 |
| Name of individual signing |
LAURIE STEVENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DON STEVENS TIRE CO., INC. 401(K) PROFIT SHARING
|
2010
|
060908046
|
2011-09-20
|
DON STEVENS TIRE CO., INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
423100
|
| Sponsor’s telephone number |
8606213256
|
| Plan sponsor’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060908046 |
| Plan administrator’s name |
DON STEVENS TIRE CO., INC. |
| Plan administrator’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213256 |
Signature of
| Role |
Plan administrator |
| Date |
2011-09-20 |
| Name of individual signing |
LAURIE STEVENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DON STEVENS TIRE CO., INC. 401(K) PROFIT SHARING
|
2009
|
060908046
|
2011-08-15
|
DON STEVENS TIRE CO., INC.
|
17
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1996-01-01
|
| Business code |
423100
|
| Sponsor’s telephone number |
8606213256
|
| Plan sponsor’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489
|
Plan administrator’s name and address
| Administrator’s EIN |
060908046 |
| Plan administrator’s name |
DON STEVENS TIRE CO., INC. |
| Plan administrator’s
address |
60 CURTISS ST., SOUTHINGTON, CT, 06489 |
| Administrator’s telephone number |
8606213256 |
Signature of
| Role |
Plan administrator |
| Date |
2011-08-15 |
| Name of individual signing |
LAURIE E STEVENS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
