|
OCCUM PIZZA II LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
261411810
|
2011-03-10
|
OCCUM PIZZA II LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8608228047
|
| Plan sponsor’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360
|
Plan administrator’s name and address
| Administrator’s EIN |
261411810 |
| Plan administrator’s name |
OCCUM PIZZA II LLC |
| Plan administrator’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360 |
| Administrator’s telephone number |
8608228047 |
Signature of
| Role |
Plan administrator |
| Date |
2011-03-10 |
| Name of individual signing |
OCCUM PIZZA II LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OCCUM PIZZA II LLC
|
2009
|
261411810
|
2010-08-02
|
OCCUM PIZZA II LLC
|
11
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8608228047
|
| Plan sponsor’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360
|
Plan administrator’s name and address
| Administrator’s EIN |
261411810 |
| Plan administrator’s name |
OCCUM PIZZA II LLC |
| Plan administrator’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360 |
| Administrator’s telephone number |
8608228047 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-02 |
| Name of individual signing |
OCCUM PIZZA II LLC |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
OCCUM PIZZA II LLC
|
2009
|
261411810
|
2010-08-01
|
OCCUM PIZZA II LLC
|
11
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8608228047
|
| Plan sponsor’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360
|
Plan administrator’s name and address
| Administrator’s EIN |
261411810 |
| Plan administrator’s name |
OCCUM PIZZA II LLC |
| Plan administrator’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360 |
| Administrator’s telephone number |
8608228047 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-01 |
| Name of individual signing |
OCCUM PIZZA II LLC |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
OCCUM PIZZA II LLC
|
2009
|
261411810
|
2010-08-02
|
OCCUM PIZZA II LLC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
722110
|
| Sponsor’s telephone number |
8608228047
|
| Plan sponsor’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360
|
Plan administrator’s name and address
| Administrator’s EIN |
261411810 |
| Plan administrator’s name |
OCCUM PIZZA II LLC |
| Plan administrator’s
address |
30 TAFTVILLE OCCUM ROAD, NORWICH, CT, 06360 |
| Administrator’s telephone number |
8608228047 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-02 |
| Name of individual signing |
OCCUM PIZZA II LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
