AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2014
|
840689656
|
2015-12-14
|
EXCELSIOR ENTERPRISES, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Signature of
Role |
Plan administrator |
Date |
2015-12-14 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-12-14 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2014
|
840689656
|
2015-05-04
|
EXCELSIOR ENTERPRISES, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Signature of
Role |
Plan administrator |
Date |
2015-05-04 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-05-04 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2013
|
840689656
|
2014-05-27
|
EXCELSIOR ENTERPRISES, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2012
|
840689656
|
2013-05-22
|
EXCELSIOR ENTERPRISES, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Signature of
Role |
Plan administrator |
Date |
2013-05-22 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-22 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2011
|
840689656
|
2012-04-06
|
EXCELSIOR ENTERPRISES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Plan administrator’s name and address
Administrator’s EIN |
840689656 |
Plan administrator’s name |
EXCELSIOR ENTERPRISES, INC. |
Plan administrator’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610 |
Administrator’s telephone number |
3037900885 |
Signature of
Role |
Plan administrator |
Date |
2012-04-06 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-04-06 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2010
|
840689656
|
2011-07-06
|
EXCELSIOR ENTERPRISES, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Plan administrator’s name and address
Administrator’s EIN |
840689656 |
Plan administrator’s name |
EXCELSIOR ENTERPRISES, INC. |
Plan administrator’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610 |
Administrator’s telephone number |
3037900885 |
Signature of
Role |
Plan administrator |
Date |
2011-07-06 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-06 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMUSEMENT EMPORIUM/CRYSTAL LEISURE PROFIT SHARING PLAN
|
2009
|
840689656
|
2010-07-08
|
EXCELSIOR ENTERPRISES, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-12-01
|
Business code |
423990
|
Sponsor’s telephone number |
3037900885
|
Plan sponsor’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610
|
Plan administrator’s name and address
Administrator’s EIN |
840689656 |
Plan administrator’s name |
EXCELSIOR ENTERPRISES, INC. |
Plan administrator’s
address |
6880 S EMPORIA ST, CENTENNIAL, CO, 801123610 |
Administrator’s telephone number |
3037900885 |
Signature of
Role |
Plan administrator |
Date |
2010-07-08 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-08 |
Name of individual signing |
GARY VOSBURGH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|