FLOOR SHORE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
452471951
|
2021-07-14
|
FLOOR SHORE INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
218 MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2021-07-14 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
452471951
|
2020-07-24
|
FLOOR SHORE INC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
244 MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2020-07-24 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
452471951
|
2019-04-30
|
FLOOR SHORE INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230A MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2019-04-30 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
452471951
|
2018-04-28
|
FLOOR SHORE INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230A MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2018-04-28 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
452471951
|
2017-06-10
|
FLOOR SHORE INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230A MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2017-06-10 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
452471951
|
2016-06-26
|
FLOOR SHORE INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230A MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2016-06-26 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
452471951
|
2015-06-28
|
FLOOR SHORE INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230 MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2015-06-28 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
452471951
|
2014-07-11
|
FLOOR SHORE INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230 MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2014-07-11 |
Name of individual signing |
THOMAS FASOLDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
452471951
|
2013-06-28
|
FLOOR SHORE INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
230 MURPHY RD, HARTFORD, CT, 06114
|
Signature of
Role |
Plan administrator |
Date |
2013-06-28 |
Name of individual signing |
FLOOR SHORE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FLOOR SHORE INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
452471951
|
2012-07-11
|
FLOOR SHORE INC
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
8605273567
|
Plan sponsor’s
address |
244 MURPHY RD, HARTFORD, CT, 06114
|
Plan administrator’s name and address
Administrator’s EIN |
452471951 |
Plan administrator’s name |
FLOOR SHORE INC |
Plan administrator’s
address |
244 MURPHY RD, HARTFORD, CT, 06114 |
Administrator’s telephone number |
8605273567 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
FLOOR SHORE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|