|
TRAILSIDE VILLAGE, LLC 401(K) PROFIT SHARING PLAN
|
2012
|
562532498
|
2013-07-18
|
TRAILSIDE VILLAGE, LLC
|
8
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1970-09-30
|
| Business code |
531310
|
| Sponsor’s telephone number |
2032723574
|
| Plan sponsor’s
address |
325 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-18 |
| Name of individual signing |
DEAN FISKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRAILSIDE VILLAGE, LLC 401(K) PROFIT SHARING PLAN
|
2011
|
562532498
|
2012-03-27
|
TRAILSIDE VILLAGE, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1970-09-30
|
| Business code |
531310
|
| Sponsor’s telephone number |
2032723574
|
| Plan sponsor’s
address |
325 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
| Administrator’s EIN |
562532498 |
| Plan administrator’s name |
TRAILSIDE VILLAGE, LLC |
| Plan administrator’s
address |
325 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410 |
| Administrator’s telephone number |
2032723574 |
Signature of
| Role |
Plan administrator |
| Date |
2012-03-27 |
| Name of individual signing |
DEAN FISKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRAILSIDE VILLAGE, LLC 401(K) PROFIT SHARING PLAN
|
2010
|
562532498
|
2011-03-10
|
TRAILSIDE VILLAGE, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1970-09-30
|
| Business code |
531310
|
| Sponsor’s telephone number |
2032723574
|
| Plan sponsor’s
address |
325 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
| Administrator’s EIN |
562532498 |
| Plan administrator’s name |
TRAILSIDE VILLAGE, LLC |
| Plan administrator’s
address |
325 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410 |
| Administrator’s telephone number |
2032723574 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-10 |
| Name of individual signing |
DEAN FISKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRAILSIDE VILLAGE, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
562532498
|
2010-05-06
|
TRAILSIDE VILLAGE, LLC
|
14
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1970-09-30
|
| Business code |
531310
|
| Sponsor’s telephone number |
2032723574
|
| Plan sponsor’s mailing address |
677 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
| Plan sponsor’s
address |
677 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
| Administrator’s EIN |
562532498 |
| Plan administrator’s name |
TRAILSIDE VILLAGE, LLC |
| Plan administrator’s
address |
677 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410 |
| Administrator’s telephone number |
2032723574 |
Number of participants as of the end of the plan year
| Active participants |
9 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
4 |
| 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 |
13 |
| 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 |
2010-05-06 |
| Name of individual signing |
DEAN FISKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
TRAILSIDE VILLAGE, LLC 401(K) PROFIT SHARING PLAN
|
2009
|
562532498
|
2010-07-01
|
TRAILSIDE VILLAGE, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
003
|
| Effective date of plan |
1970-09-30
|
| Business code |
531310
|
| Sponsor’s telephone number |
2032723574
|
| Plan sponsor’s
address |
677 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410
|
Plan administrator’s name and address
| Administrator’s EIN |
562532498 |
| Plan administrator’s name |
TRAILSIDE VILLAGE, LLC |
| Plan administrator’s
address |
677 SOUTH MAIN STREET, P.O. BOX 743, CHESHIRE, CT, 06410 |
| Administrator’s telephone number |
2032723574 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-01 |
| Name of individual signing |
DEAN FISKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
