BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2020
|
841252115
|
2021-07-07
|
BASIC FOOD GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3034753629
|
Plan sponsor’s
address |
3701 S INCA ST UNIT D, ENGLEWOOD, CO, 801103400
|
Signature of
Role |
Plan administrator |
Date |
2021-07-07 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-07 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2020
|
841252115
|
2021-07-07
|
BASIC FOOD GROUP, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3034753629
|
Plan sponsor’s
address |
3701 S INCA ST UNIT D, ENGLEWOOD, CO, 801103400
|
Signature of
Role |
Plan administrator |
Date |
2021-07-07 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-07-07 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2020
|
841252115
|
2021-02-02
|
BASIC FOOD GROUP, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2020
|
841252115
|
2021-02-02
|
BASIC FOOD GROUP, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3039413474
|
Plan sponsor’s
address |
3701 S INCA ST., UNIT D, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2019
|
841252115
|
2021-02-02
|
BASIC FOOD GROUP, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3039413474
|
Plan sponsor’s
address |
3701 S INCA ST., UNIT D, ENGLEWOOD, CO, 80110
|
Signature of
Role |
Plan administrator |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-02-02 |
Name of individual signing |
SHARON KELLEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2016
|
841252115
|
2017-07-18
|
BASIC FOOD GROUP, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2017-07-18 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-18 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2015
|
841252115
|
2016-07-13
|
BASIC FOOD GROUP, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-13 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2014
|
841252115
|
2015-07-07
|
BASIC FOOD GROUP, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-07 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2013
|
841252115
|
2014-07-18
|
BASIC FOOD GROUP, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722511
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2014-07-18 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-18 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BASIC FOOD GROUP 401(K) RETIREMENT PLAN
|
2012
|
841252115
|
2013-07-03
|
BASIC FOOD GROUP, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-08-01
|
Business code |
722110
|
Sponsor’s telephone number |
3038612937
|
Plan sponsor’s
address |
45 INVERNESS DR E, ENGLEWOOD, CO, 801125412
|
Signature of
Role |
Plan administrator |
Date |
2013-07-03 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-03 |
Name of individual signing |
JOHN BROKOS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|