JEANS WESTERNER INC 401K PROFIT-SHARING PLAN
|
2012
|
840686383
|
2013-06-17
|
JEANS WESTERNER INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-02-01
|
Business code |
451110
|
Sponsor’s telephone number |
9702498084
|
Plan sponsor’s mailing address |
62639 HWY 90, MONTROSE, CO, 81403
|
Plan sponsor’s
address |
62639 HWY 90, MONTROSE, CO, 81403
|
Plan administrator’s name and address
Administrator’s EIN |
841009865 |
Plan administrator’s name |
MARY KATHRYN MATHIS |
Plan administrator’s
address |
62639 HWY 90, MONTROSE, CO, 81403 |
Administrator’s telephone number |
9702498084 |
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 |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
9 |
Signature of
Role |
Plan administrator |
Date |
2013-06-14 |
Name of individual signing |
MARY KATHRYN MATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEANS WESTERNER INC 401K PROFIT-SHARING PLAN
|
2011
|
840686383
|
2012-10-31
|
JEANS WESTERNER INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-02-01
|
Business code |
451110
|
Sponsor’s telephone number |
9702498084
|
Plan sponsor’s mailing address |
62639 HWY 90, MONTROSE, CO, 81403
|
Plan sponsor’s
address |
102 N SELIG AVE, MONTROSE, CO, 81403
|
Plan administrator’s name and address
Administrator’s EIN |
841009865 |
Plan administrator’s name |
MARY KATHRYN MATHIS |
Plan administrator’s
address |
62639 HWY 90, MONTROSE, CO, 81403 |
Administrator’s telephone number |
9702498084 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
0 |
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 |
2012-10-30 |
Name of individual signing |
MARY KATHRYN MATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEANS WESTERNER, INC 401K PROFIT-SHARING PLAN
|
2010
|
840686383
|
2011-08-12
|
JEANS WESTERNER INC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-02-01
|
Business code |
451110
|
Sponsor’s telephone number |
9702493600
|
Plan sponsor’s mailing address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan sponsor’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan administrator’s name and address
Administrator’s EIN |
841009865 |
Plan administrator’s name |
MARY KATHRYN MATHIS |
Plan administrator’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401 |
Administrator’s telephone number |
9702493600 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
0 |
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 |
2011-08-12 |
Name of individual signing |
MARY KATHRYN MATHIS |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
JEANS WESTERNER, INC 401K PROFIT-SHARING PLAN
|
2010
|
840686383
|
2011-08-15
|
JEANS WESTERNER INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-02-01
|
Business code |
451110
|
Sponsor’s telephone number |
9702493600
|
Plan sponsor’s mailing address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan sponsor’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan administrator’s name and address
Administrator’s EIN |
841009865 |
Plan administrator’s name |
MARY KATHRYN MATHIS |
Plan administrator’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401 |
Administrator’s telephone number |
9702493600 |
Number of participants as of the end of the plan year
Active participants |
8 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
0 |
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 |
2011-08-12 |
Name of individual signing |
MARY KATHRYN MATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JEANS WESTERNER, INC 401K PROFIT-SHARING PLAN
|
2009
|
840686383
|
2010-08-11
|
JEANS WESTERNER INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1976-02-01
|
Business code |
451110
|
Sponsor’s telephone number |
9702493600
|
Plan sponsor’s mailing address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan sponsor’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401
|
Plan administrator’s name and address
Administrator’s EIN |
841009865 |
Plan administrator’s name |
MARY KATHRYN MATHIS |
Plan administrator’s
address |
102 N SELIG AVE, MONTROSE, CO, 81401 |
Administrator’s telephone number |
9702493600 |
Number of participants as of the end of the plan year
Active participants |
8 |
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 |
0 |
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 |
2010-08-10 |
Name of individual signing |
MARY KATHRYN MATHIS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|