|
ACTION GAS INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2010
|
840675761
|
2011-08-01
|
ACTION GAS INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
454319
|
| Sponsor’s telephone number |
3038389880
|
| Plan sponsor’s mailing address |
PO BOX 300, PINE, CO, 80470
|
| Plan sponsor’s
address |
67302 US HWY 285, PINE, CO, 80470
|
Plan administrator’s name and address
| Administrator’s EIN |
840675761 |
| Plan administrator’s name |
ACTION GAS INC |
| Plan administrator’s
address |
PO BOX 300, PINE, CO, 80470 |
| Administrator’s telephone number |
3038389880 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
1 |
| 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 |
2011-08-01 |
| Name of individual signing |
ROBERT BLACKWELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ACTION GAS INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
840675761
|
2010-07-23
|
ACTION GAS INC.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
454319
|
| Sponsor’s telephone number |
3038389880
|
| Plan sponsor’s mailing address |
PO BOX 300, PINE, CO, 80470
|
| Plan sponsor’s
address |
67302 US HWY 285, PINE, CO, 80470
|
Plan administrator’s name and address
| Administrator’s EIN |
840675761 |
| Plan administrator’s name |
ACTION GAS INC. |
| Plan administrator’s
address |
PO BOX 300, PINE, CO, 80470 |
| Administrator’s telephone number |
3038389880 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
1 |
| 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 |
2010-07-23 |
| Name of individual signing |
ROBERT BLACKWELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ACTION GAS INC. 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
840675761
|
2010-07-23
|
ACTION GAS INC.
|
21
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2006-01-01
|
| Business code |
454319
|
| Sponsor’s telephone number |
3038389880
|
| Plan sponsor’s mailing address |
PO BOX 300, PINE, CO, 80470
|
| Plan sponsor’s
address |
67302 US HWY 285, PINE, CO, 80470
|
Plan administrator’s name and address
| Administrator’s EIN |
840675761 |
| Plan administrator’s name |
ACTION GAS INC. |
| Plan administrator’s
address |
PO BOX 300, PINE, CO, 80470 |
| Administrator’s telephone number |
3038389880 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| 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 |
1 |
| 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 |
2010-07-23 |
| Name of individual signing |
ROBERT BLACKWELL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
