|
BOB LEVEY PREMIUM ONLY PLAN
|
2012
|
841439768
|
2013-06-05
|
BOB LEVEY DECORATIVE FINISHING INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2002-01-01
|
| Business code |
238300
|
| Sponsor’s telephone number |
9709275009
|
| Plan sponsor’s mailing address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
| Plan sponsor’s
address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2013-06-05 |
| Name of individual signing |
TIM HOBBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BOB LEVEY PREMIUM ONLY PLAN
|
2011
|
841439768
|
2012-07-12
|
BOB LEVEY DECORATIVE FINISHING INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2002-01-01
|
| Business code |
238300
|
| Sponsor’s telephone number |
9709275009
|
| Plan sponsor’s mailing address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
| Plan sponsor’s
address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
Plan administrator’s name and address
| Administrator’s EIN |
841439768 |
| Plan administrator’s name |
BOB LEVEY DECORATIVE FINISHING INC |
| Plan administrator’s
address |
31 DUROUX LANE STE B, BASALT, CO, 81621 |
| Administrator’s telephone number |
9709275009 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
2012-07-12 |
| Name of individual signing |
TIM HOBBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BOB LEVEY PREMIUM ONLY PLAN
|
2010
|
841439768
|
2011-05-18
|
BOB LEVEY DECORATIVE FINISHING INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2002-01-01
|
| Business code |
238300
|
| Sponsor’s telephone number |
9709275009
|
| Plan sponsor’s mailing address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
| Plan sponsor’s
address |
31 DUROUX LANE STE B, BASALT, CO, 81621
|
Plan administrator’s name and address
| Administrator’s EIN |
841439768 |
| Plan administrator’s name |
BOB LEVEY DECORATIVE FINISHING INC |
| Plan administrator’s
address |
31 DUROUX LANE STE B, BASALT, CO, 81621 |
| Administrator’s telephone number |
9709275009 |
Number of participants as of the end of the plan year
| Active participants |
1 |
| 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 |
2011-05-18 |
| Name of individual signing |
TIM HOBBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BOB LEVEY PREMIUM ONLY PLAN
|
2009
|
841439768
|
2010-07-13
|
BOB LEVEY DECORATIVE FINISHING INC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
501
|
| Effective date of plan |
2002-01-01
|
| Business code |
238300
|
| Sponsor’s telephone number |
9709275009
|
| Plan sponsor’s mailing address |
31 DUROUX LANE #B, BASALT, CO, 81621
|
| Plan sponsor’s
address |
31 DUROUX LANE #B, BASALT, CO, 81621
|
Plan administrator’s name and address
| Administrator’s EIN |
841439768 |
| Plan administrator’s name |
BOB LEVEY DECORATIVE FINISHING INC |
| Plan administrator’s
address |
31 DUROUX LANE #B, BASALT, CO, 81621 |
| Administrator’s telephone number |
9709275009 |
Number of participants as of the end of the plan year
| Active participants |
4 |
| 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 |
2010-07-13 |
| Name of individual signing |
TIM HOBBS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
