TELLURIDE ACADEMY RETIREMENT PLAN
|
2016
|
840945670
|
2017-08-15
|
TELLURIDE ACADEMY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan sponsor’s
address |
P.O. BOX 2255, TELLURIDE, CO, 81435
|
Signature of
Role |
Plan administrator |
Date |
2017-08-15 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-15 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2015
|
840945670
|
2017-06-28
|
TELLURIDE ACADEMY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan sponsor’s
address |
P.O. BOX 2255, TELLURIDE, CO, 81435
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-06-28 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
4 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
5 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
5 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
4 |
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 |
6 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
4 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
3 |
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 |
4 |
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 |
2015-06-16 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
3 |
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 |
3 |
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 |
2015-06-17 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TELLURIDE ACADEMY RETIREMENT PLAN
|
2014
|
840945670
|
2015-06-18
|
TELLURIDE ACADEMY INC.
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-03
|
Business code |
611000
|
Sponsor’s telephone number |
9707285311
|
Plan
sponsor’s DBA name |
TELLURIDE ACADEMY
|
Plan sponsor’s mailing address |
PO BOX 2255, TELLURIDE, CO, 81435
|
Plan sponsor’s
address |
300 S. MAHONEY DR, C-8, TELLURIDE, CO, 81435
|
Number of participants as of the end of the plan year
Active participants |
2 |
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 |
2 |
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 |
2015-06-16 |
Name of individual signing |
LARRY ROSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|