CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2022
|
840692465
|
2023-08-25
|
CONCEPT RESTAURANTS, INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1240 PINE ST, BOULDER, CO, 803024809
|
Signature of
Role |
Plan administrator |
Date |
2023-08-25 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-08-25 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2021
|
840692465
|
2023-07-27
|
CONCEPT RESTAURANTS, INC.
|
63
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1240 PINE ST, BOULDER, CO, 803024809
|
Signature of
Role |
Plan administrator |
Date |
2023-07-27 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-27 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2020
|
840692465
|
2022-04-14
|
CONCEPT RESTAURANTS, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1240 PINE ST, BOULDER, CO, 803024809
|
Signature of
Role |
Plan administrator |
Date |
2022-04-14 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-04-14 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2019
|
840692465
|
2020-07-28
|
CONCEPT RESTAURANTS, INC.
|
95
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1240 PINE ST, BOULDER, CO, 803024809
|
Signature of
Role |
Plan administrator |
Date |
2020-07-28 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-28 |
Name of individual signing |
KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2018
|
840692465
|
2019-07-02
|
CONCEPT RESTAURANTS, INC.
|
83
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2019-07-02 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2017
|
840692465
|
2018-10-01
|
CONCEPT RESTAURANTS, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2016
|
840692465
|
2017-06-20
|
CONCEPT RESTAURANTS, INC.
|
86
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2017-06-20 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2015
|
840692465
|
2016-06-04
|
CONCEPT RESTAURANTS, INC.
|
84
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2016-06-04 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2014
|
840692465
|
2015-07-27
|
CONCEPT RESTAURANTS, INC.
|
73
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2015-07-27 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONCEPT RESTAURANTS, INC. EMPLOYEE HEALTH PLAN
|
2013
|
840692465
|
2014-06-10
|
CONCEPT RESTAURANTS, INC.
|
68
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1982-03-01
|
Business code |
721110
|
Sponsor’s telephone number |
3034438424
|
Plan sponsor’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302
|
Plan administrator’s name and address
Administrator’s EIN |
840692465 |
Plan administrator’s name |
CONCEPT RESTAURANTS, INC. |
Plan administrator’s
address |
1227 SPRUCE STREET, SUITE 201, BOULDER, CO, 80302 |
Administrator’s telephone number |
3034438424 |
Signature of
Role |
Plan administrator |
Date |
2014-06-10 |
Name of individual signing |
R. KEVIN BROWN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|