NOVICKYS FIRESIDE INC 401K PROFIT SHARING PLAN AND TRUST
|
2020
|
060791095
|
2021-07-20
|
NOVICKY'S FIRESIDE INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Plan
sponsor’s DBA name |
NOVICKY'S FIRESIDE INC.
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan sponsor’s
address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan administrator’s name and address
Administrator’s EIN |
060791095 |
Plan administrator’s name |
LINDA S. GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037752367 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-07-20 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKYS FIRESIDE INC 401K PROFIT SHARING PLAN AND TRUST
|
2019
|
060791095
|
2020-07-23
|
NOVICKY'S FIRESIDE, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan sponsor’s
address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan administrator’s name and address
Administrator’s EIN |
060791095 |
Plan administrator’s name |
LINDA S. GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604 |
Administrator’s telephone number |
2037752367 |
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-23 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKYS FIRESIDE INC. 401K PROFIT SHARING PLAN AND TRUCT
|
2017
|
060791095
|
2018-07-05
|
NOVICKY'S FIRESIDE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan sponsor’s
address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604
|
Plan administrator’s name and address
Administrator’s EIN |
060791095 |
Plan administrator’s name |
LINDA S. GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE RD, BROOKFIELD, CT, 068042604 |
Administrator’s telephone number |
2037752367 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-07-05 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKYS FIRESIDE INC.
|
2013
|
060791095
|
2014-07-28
|
NOVICKY'S FIRESIDE INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2014-07-28 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKYS FIRESIDE INC.
|
2012
|
060791095
|
2013-07-01
|
NOVICKY'S FIRESIDE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
047561551 |
Plan administrator’s name |
LINDA GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-07-01 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKY'S FIRESIDE, INC., 401K PROFIT SHARING PLAN AND TRUST
|
2011
|
060791095
|
2013-10-08
|
NOVICKY'S FIRESIDE INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
060791095 |
Plan administrator’s name |
LINDA S. GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037752367 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NOVICKY'S FIRESIDE, INC., 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
060791095
|
2013-11-04
|
NOVICKY'S FIRESIDE INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1984-10-01
|
Business code |
238900
|
Sponsor’s telephone number |
2037752367
|
Plan sponsor’s mailing address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan sponsor’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804
|
Plan administrator’s name and address
Administrator’s EIN |
060791095 |
Plan administrator’s name |
LINDA S. GREEN |
Plan administrator’s
address |
75 GRAYS BRIDGE ROAD, BROOKFIELD, CT, 06804 |
Administrator’s telephone number |
2037752367 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-11-04 |
Name of individual signing |
LINDA GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|