JACOBS ENTERTAINMENT, INC.'S 401(K) PLAN
|
2012
|
341959351
|
2013-07-02
|
JACOBS ENTERTAINMENT, INC.
|
2187
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713200
|
Sponsor’s telephone number |
3032155200
|
Plan sponsor’s mailing address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan sponsor’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
341959351 |
Plan administrator’s name |
JACOBS ENTERTAINMENT, INC. |
Plan administrator’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401 |
Administrator’s telephone number |
3032155200 |
Number of participants as of the end of the plan year
Active participants |
2072 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
160 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Number of
participants
with
account balances as of the end of the plan year |
781 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
34 |
Signature of
Role |
Plan administrator |
Date |
2013-07-02 |
Name of individual signing |
ELAINE SWOPE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-02 |
Name of individual signing |
BRETT KRAMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACOBS ENTERTAINMENT, INC.'S 401(K) PLAN
|
2011
|
341959351
|
2012-10-15
|
JACOBS ENTERTAINMENT, INC.
|
2407
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713200
|
Sponsor’s telephone number |
3032155200
|
Plan sponsor’s mailing address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan sponsor’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
341959351 |
Plan administrator’s name |
JACOBS ENTERTAINMENT, INC. |
Plan administrator’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401 |
Administrator’s telephone number |
3032155200 |
Number of participants as of the end of the plan year
Active participants |
2000 |
Retired or separated participants receiving
benefits |
6 |
Other
retired or separated participants entitled to future benefits |
180 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
786 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
47 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
ELAINE SWOPE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-15 |
Name of individual signing |
BRETT KRAMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACOBS ENTERTAINMENT, INC.'S 401(K) PLAN
|
2010
|
341959351
|
2011-10-14
|
JACOBS ENTERTAINMENT, INC.
|
2672
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713200
|
Sponsor’s telephone number |
3032155200
|
Plan sponsor’s mailing address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan sponsor’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
341959351 |
Plan administrator’s name |
JACOBS ENTERTAINMENT, INC. |
Plan administrator’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401 |
Administrator’s telephone number |
3032155200 |
Number of participants as of the end of the plan year
Active participants |
2256 |
Retired or separated participants receiving
benefits |
4 |
Other
retired or separated participants entitled to future benefits |
146 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of
participants
with
account balances as of the end of the plan year |
730 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
43 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
ELAINE SWOPE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-14 |
Name of individual signing |
BRETT KRAMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACOBS ENTERTAINMENT, INC.'S 401(K) PLAN
|
2009
|
341959351
|
2010-10-13
|
JACOBS ENTERTAINMENT, INC.
|
1614
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713200
|
Sponsor’s telephone number |
3032155190
|
Plan sponsor’s mailing address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan sponsor’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
341959351 |
Plan administrator’s name |
JACOBS ENTERTAINMENT, INC. |
Plan administrator’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401 |
Administrator’s telephone number |
3032155190 |
Number of participants as of the end of the plan year
Active participants |
2557 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
112 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
684 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
48 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
ELAINE SWOPE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
BRETT KRAMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JACOBS ENTERTAINMENT, INC.'S 401(K) PLAN
|
2009
|
341959351
|
2010-10-13
|
JACOBS ENTERTAINMENT, INC.
|
1614
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
713200
|
Sponsor’s telephone number |
3032155190
|
Plan sponsor’s mailing address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan sponsor’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401
|
Plan administrator’s name and address
Administrator’s EIN |
341959351 |
Plan administrator’s name |
JACOBS ENTERTAINMENT, INC. |
Plan administrator’s
address |
17301 W. COLFAX AVE., SUITE 250, GOLDEN, CO, 80401 |
Administrator’s telephone number |
3032155190 |
Number of participants as of the end of the plan year
Active participants |
2557 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
112 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
684 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
48 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
BRETT KRAMER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|