BERGSON TIRE CO. INC. 401K PLAN
|
2016
|
061097956
|
2017-05-09
|
BERGSON TIRE CO.INC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2017-05-09 |
Name of individual signing |
JAMES B WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-09 |
Name of individual signing |
JAMES B WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2016
|
061097956
|
2017-05-23
|
BERGSON TIRE CO.INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2017-05-23 |
Name of individual signing |
JAMES B WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-23 |
Name of individual signing |
JAMES B WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2015
|
061097956
|
2016-06-03
|
BERGSON TIRE CO.INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2016-06-03 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2014
|
061097956
|
2015-06-06
|
BERGSON TIRE CO.INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2015-06-06 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2013
|
061097956
|
2014-05-29
|
BERGSON TIRE CO.INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2014-05-29 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2012
|
061097956
|
2013-10-09
|
BERGSON TIRE CO.INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2012
|
061097956
|
2013-10-07
|
BERGSON TIRE CO.INC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2011
|
061097956
|
2013-10-09
|
BERGSON TIRE CO.INC
|
26
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Plan administrator’s name and address
Administrator’s EIN |
061097956 |
Plan administrator’s name |
BERGSON TIRE CO.INC |
Plan administrator’s
address |
40 WEST RD, ELLINGTON, CT, 06029 |
Administrator’s telephone number |
8608727729 |
Signature of
Role |
Plan administrator |
Date |
2013-10-09 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2011
|
061097956
|
2013-10-07
|
BERGSON TIRE CO.INC
|
26
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Plan administrator’s name and address
Administrator’s EIN |
061097956 |
Plan administrator’s name |
BERGSON TIRE CO.INC |
Plan administrator’s
address |
40 WEST RD, ELLINGTON, CT, 06029 |
Administrator’s telephone number |
8608727729 |
Signature of
Role |
Plan administrator |
Date |
2013-10-07 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BERGSON TIRE CO. INC. 401K PLAN
|
2010
|
061097956
|
2011-09-27
|
BERGSON TIRE CO.INC
|
28
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1999-01-01
|
Business code |
423100
|
Sponsor’s telephone number |
8608727729
|
Plan sponsor’s
address |
40 WEST RD, ELLINGTON, CT, 06029
|
Plan administrator’s name and address
Administrator’s EIN |
061097956 |
Plan administrator’s name |
BERGSON TIRE CO.INC |
Plan administrator’s
address |
40 WEST RD, ELLINGTON, CT, 06029 |
Administrator’s telephone number |
8608727729 |
Signature of
Role |
Plan administrator |
Date |
2011-09-27 |
Name of individual signing |
JIM WOOD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|