|
BERGEN DIESEL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
813648381
|
2024-05-24
|
BERGEN DIESEL LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-05-23
|
| Business code |
811110
|
| Sponsor’s telephone number |
2037471869
|
| Plan sponsor’s
address |
80 LAKESIDE AVE, MIDDLETOWN, CT, 06457
|
Signature of
| Role |
Plan administrator |
| Date |
2024-05-24 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERGEN DIESEL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
813648381
|
2023-04-13
|
BERGEN DIESEL LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-05-23
|
| Business code |
811110
|
| Sponsor’s telephone number |
2037471869
|
| Plan sponsor’s
address |
80 LAKESIDE AVE, MIDDLETOWN, CT, 06457
|
Signature of
| Role |
Plan administrator |
| Date |
2023-04-13 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERGEN DIESEL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
813648381
|
2022-10-10
|
BERGEN DIESEL LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-05-23
|
| Business code |
811110
|
| Sponsor’s telephone number |
2037471869
|
| Plan sponsor’s
address |
80 LAKESIDE AVE, MIDDLETOWN, CT, 06457
|
Signature of
| Role |
Plan administrator |
| Date |
2022-10-10 |
| Name of individual signing |
EDWARD ROJAS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERGEN DIESEL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
813648381
|
2022-09-08
|
BERGEN DIESEL LLC
|
2
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-05-23
|
| Business code |
811110
|
| Sponsor’s telephone number |
2037471869
|
| Plan sponsor’s
address |
80 LAKESIDE AVE, MIDDLETOWN, CT, 06457
|
Signature of
| Role |
Plan administrator |
| Date |
2022-09-08 |
| Name of individual signing |
RICHARD BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BERGEN DIESEL LLC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
813648381
|
2021-09-28
|
BERGEN DIESEL LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
811110
|
| Sponsor’s telephone number |
2037471869
|
| Plan sponsor’s
address |
157 MILL STREET, MIDDLETOWN, CT, 06457
|
Plan administrator’s name and address
| Administrator’s EIN |
813648381 |
| Plan administrator’s name |
BERGEN DIESEL LLC |
| Plan administrator’s
address |
157 MILL STREET, MIDDLETOWN, CT, 064573767 |
| Administrator’s telephone number |
2037471869 |
Signature of
| Role |
Plan administrator |
| Date |
2021-09-28 |
| Name of individual signing |
RICHARD BERGEN |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
