PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2023
|
461340768
|
2024-07-29
|
PINE CREEK ADMINISTRATION, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
0 |
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 |
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 |
2024-07-29 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2022
|
460904566
|
2023-10-06
|
PINE CREEK ADMINISTRATION, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
16 |
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 |
16 |
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 |
2023-10-06 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2021
|
460904566
|
2023-10-06
|
PINE CREEK ADMINISTRATION, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
16 |
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 |
16 |
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 |
2023-10-06 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2021
|
460904566
|
2022-10-17
|
PINE CREEK ADMINISTRATION, INC.
|
17
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
1115 ELKTON DR STE 202, COLORADO SPRINGS, CO, 80907 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
16 |
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 |
16 |
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 |
2022-10-17 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2020
|
460904566
|
2021-10-15
|
PINE CREEK ADMINISTRATION, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
17 |
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 |
17 |
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 |
2021-10-14 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
MARIETTA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2019
|
460904566
|
2021-10-15
|
PINE CREEK ADMINISTRATION, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
13 |
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 |
13 |
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-15 |
Name of individual signing |
MARIETTA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2018
|
460904566
|
2019-10-15
|
PINE CREEK ADMINISTRATION, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
15 |
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 |
15 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
MARIETTA MARTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2017
|
460904566
|
2018-10-15
|
PINE CREEK ADMINISTRATION, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
10 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2018-10-15 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-14 |
Name of individual signing |
BILL THOMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC., EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2016
|
460904566
|
2017-10-16
|
PINE CREEK ADMINISTRATION, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
5 |
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 |
2017-10-16 |
Name of individual signing |
BILL THOMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-16 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PINE CREEK ADMINISTRATION, INC. EMPLOYEE STOCK OWNERSHIP & PROFIT SHARING PLAN
|
2015
|
460904566
|
2016-10-17
|
PINE CREEK ADMINISTRATION, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
7193210612
|
Plan sponsor’s mailing address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan sponsor’s
address |
9475 BRIAR VILLAGE PT STE 115, COLORADO SPRINGS, CO, 809207902
|
Plan administrator’s name and address
Administrator’s EIN |
841531435 |
Plan administrator’s name |
EXIT STRATEGIES INSTITUTE, LLC |
Plan administrator’s
address |
PO BOX 1310, COLORADO SPRINGS, CO, 809011310 |
Administrator’s telephone number |
7194440300 |
Number of participants as of the end of the plan year
Active participants |
8 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
8 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-10-15 |
Name of individual signing |
DOUGLAS GOLDBERG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
BILL THOMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|