MALLACE INDUSTRIES CORP 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
363559365
|
2020-04-07
|
MALLACE INDUSTRIES CORP
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606883575
|
Plan sponsor’s
address |
155 FIELDSTONE DR, WINDSOR, CT, 060951663
|
Signature of
Role |
Plan administrator |
Date |
2020-04-07 |
Name of individual signing |
MARK BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-07 |
Name of individual signing |
MARK BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2018
|
363559365
|
2019-05-08
|
MALLACE INDUSTRIES CORP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606883575
|
Plan sponsor’s
address |
155 FIELDSTONE DRIVE, WINDSOR, CT, 06095
|
Signature of
Role |
Plan administrator |
Date |
2019-05-08 |
Name of individual signing |
MARK F BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2017
|
363559365
|
2018-06-26
|
MALLACE INDUSTRIES CORP
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
PO BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2018-06-26 |
Name of individual signing |
MARK BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2016
|
363559365
|
2017-05-26
|
MALLACE INDUSTRIES CORP
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
PO BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2017-05-26 |
Name of individual signing |
MARK F. BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2015
|
363559365
|
2016-06-27
|
MALLACE INDUSTRIES CORP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
PO BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2016-06-27 |
Name of individual signing |
MARK BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2014
|
363559365
|
2015-07-27
|
MALLACE INDUSTRIES CORP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
PO BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
MARK F BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP 401 K PROFIT SHARING PLAN TRUST
|
2013
|
363559365
|
2014-05-08
|
MALLACE INDUSTRIES CORP
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
PO BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2014-05-08 |
Name of individual signing |
MARK F BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP. 401(K) PROFIT SHARING PLAN
|
2012
|
363559365
|
2013-05-28
|
MALLACE INDUSTRIES CORP.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
1 HERITAGE PARK ROAD, P.O. BOX 918, CLINTON, CT, 06413
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
MARK F. BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP. 401(K) PROFIT SHARING PLAN
|
2011
|
363559365
|
2012-06-27
|
MALLACE INDUSTRIES CORP.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
1 HERITAGE PARK ROAD, P.O. BOX 918, CLINTON, CT, 06413
|
Plan administrator’s name and address
Administrator’s EIN |
363559365 |
Plan administrator’s name |
MALLACE INDUSTRIES CORP. |
Plan administrator’s
address |
1 HERITAGE PARK ROAD, P.O. BOX 918, CLINTON, CT, 06413 |
Administrator’s telephone number |
8606699001 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
MARK F. BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MALLACE INDUSTRIES CORP. 401(K) PROFIT SHARING PLAN
|
2010
|
363559365
|
2011-07-18
|
MALLACE INDUSTRIES CORP.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
322200
|
Sponsor’s telephone number |
8606699001
|
Plan sponsor’s
address |
1 HERITAGE PARK ROAD, P.O. BOX 918, CLINTON, CT, 06413
|
Plan administrator’s name and address
Administrator’s EIN |
363559365 |
Plan administrator’s name |
MALLACE INDUSTRIES CORP. |
Plan administrator’s
address |
1 HERITAGE PARK ROAD, P.O. BOX 918, CLINTON, CT, 06413 |
Administrator’s telephone number |
8606699001 |
Signature of
Role |
Plan administrator |
Date |
2011-07-18 |
Name of individual signing |
MARK F. BERTELSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|