|
FIVE STAR, INC. RETIREMENT SAVINGS PLAN
|
2009
|
840910057
|
2010-10-12
|
FIVE STAR, INC.
|
20
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
7196327827
|
| Plan
sponsor’s DBA name |
FIVE STAR SANITARY PRODUCTS
|
| Plan sponsor’s
address |
6260 OMAHA BLVD, COLORADO SPRINGS, CO, 80915
|
Plan administrator’s name and address
| Administrator’s EIN |
840910057 |
| Plan administrator’s name |
FIVE STAR, INC. |
| Plan administrator’s
address |
6260 OMAHA BLVD, COLORADO SPRINGS, CO, 80915 |
| Administrator’s telephone number |
7196327827 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-12 |
| Name of individual signing |
QUINN CHILD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-12 |
| Name of individual signing |
QUINN CHILD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
FIVE STAR, INC. RETIREMENT SAVINGS PLAN
|
2009
|
840910057
|
2010-07-28
|
FIVE STAR, INC.
|
20
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2003-01-01
|
| Business code |
561720
|
| Sponsor’s telephone number |
7196327827
|
| Plan
sponsor’s DBA name |
FIVE STAR SANITARY PRODUCTS
|
| Plan sponsor’s
address |
6260 OMAHA BLVD, COLORADO SPRINGS, CO, 80915
|
Plan administrator’s name and address
| Administrator’s EIN |
840910057 |
| Plan administrator’s name |
FIVE STAR, INC. |
| Plan administrator’s
address |
6260 OMAHA BLVD, COLORADO SPRINGS, CO, 80915 |
| Administrator’s telephone number |
7196327827 |
|
