|
CC GAMING, LLC 401(K) PLAN
|
2020
|
271386693
|
2021-12-02
|
CC GAMING, LLC
|
70
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
101
|
| Effective date of plan |
2011-07-01
|
| Business code |
721120
|
| Sponsor’s telephone number |
3035825623
|
| Plan sponsor’s
address |
P.O. BOX 49, BLACK HAWK, CO, 80422
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2021-12-02 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CC GAMING, LLC 401(K) PLAN
|
2015
|
271386693
|
2016-09-28
|
CC GAMING, LLC
|
103
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
101
|
| Effective date of plan |
2011-07-01
|
| Business code |
721120
|
| Sponsor’s telephone number |
3035825623
|
| Plan sponsor’s
address |
P.O. BOX 636, CENTRAL CITY, CO, 80427
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2016-09-28 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CC GAMING, LLC 401(K) PLAN
|
2014
|
271386693
|
2015-07-01
|
CC GAMING, LLC
|
88
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
101
|
| Effective date of plan |
2011-07-01
|
| Business code |
721120
|
| Sponsor’s telephone number |
3035825623
|
| Plan sponsor’s
address |
P.O. BOX 636, CENTRAL CITY, CO, 80427
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2015-07-01 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CC GAMING, LLC 401(K) PLAN
|
2013
|
271386693
|
2014-09-30
|
CC GAMING, LLC
|
68
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
101
|
| Effective date of plan |
2011-07-01
|
| Business code |
721120
|
| Sponsor’s telephone number |
3035825623
|
| Plan sponsor’s
address |
P.O. BOX 636, CENTRAL CITY, CO, 80427
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2014-09-30 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CC GAMING, LLC 401(K) PLAN
|
2012
|
271386693
|
2013-07-30
|
CC GAMING, LLC
|
0
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
101
|
| Effective date of plan |
2011-07-01
|
| Business code |
721120
|
| Sponsor’s telephone number |
3035825623
|
| Plan sponsor’s
address |
P.O. BOX 636, CENTRAL CITY, CO, 80427
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6322 DEANE HILL DRIVE, SUITE 201, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2013-07-30 |
| Name of individual signing |
PHIL TISUE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
