|
SYNERGY FLOOR COVERING, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2012
|
753052489
|
2013-02-06
|
SYNERGY FLOOR COVERING, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
3038773698
|
| Plan sponsor’s
address |
10897 LEGACY RIDGE WAY, WESTMINSTER, CO, 80433
|
Plan administrator’s name and address
| Administrator’s EIN |
753052489 |
| Plan administrator’s name |
SYNERGY FLOOR COVERING, LLC |
| Plan administrator’s
address |
10897 LEGACY RIDGE WAY, WESTMINSTER, CO, 80433 |
| Administrator’s telephone number |
3038773698 |
Signature of
| Role |
Plan administrator |
| Date |
2013-02-06 |
| Name of individual signing |
STEVE WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYNERGY FLOOR COVERING, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2011
|
753052489
|
2012-06-15
|
SYNERGY FLOOR COVERING, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
3037227161
|
| Plan sponsor’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066
|
Plan administrator’s name and address
| Administrator’s EIN |
753052489 |
| Plan administrator’s name |
SYNERGY FLOOR COVERING, LLC |
| Plan administrator’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066 |
| Administrator’s telephone number |
3037227161 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-15 |
| Name of individual signing |
STEVE WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYNERGY FLOOR COVERING, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
753052489
|
2011-06-27
|
SYNERGY FLOOR COVERING, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
3037227161
|
| Plan sponsor’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066
|
Plan administrator’s name and address
| Administrator’s EIN |
753052489 |
| Plan administrator’s name |
SYNERGY FLOOR COVERING, LLC |
| Plan administrator’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066 |
| Administrator’s telephone number |
3037227161 |
Signature of
| Role |
Plan administrator |
| Date |
2011-06-27 |
| Name of individual signing |
STEVE WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SYNERGY FLOOR COVERING, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
753052489
|
2010-08-09
|
SYNERGY FLOOR COVERING, LLC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-01-01
|
| Business code |
442210
|
| Sponsor’s telephone number |
3037227161
|
| Plan sponsor’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066
|
Plan administrator’s name and address
| Administrator’s EIN |
753052489 |
| Plan administrator’s name |
SYNERGY FLOOR COVERING, LLC |
| Plan administrator’s
address |
601 S. BROADWAY, SUITE N, DENVER, CO, 802094066 |
| Administrator’s telephone number |
3037227161 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-09 |
| Name of individual signing |
STEVE WILSON |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
