CONSUMERS CHOICE COFFEE 401(K) RETIREMENT SAVINGS PLAN
|
2011
|
610721863
|
2012-01-31
|
CONSUMERS CHOICE COFFEE, INC.
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-24
|
Business code |
424400
|
Sponsor’s telephone number |
5029684151
|
Plan sponsor’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539
|
Plan administrator’s name and address
Administrator’s EIN |
610721863 |
Plan administrator’s name |
CONSUMERS CHOICE COFFEE, INC. |
Plan administrator’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539 |
Administrator’s telephone number |
5029684151 |
Signature of
Role |
Plan administrator |
Date |
2012-01-31 |
Name of individual signing |
KAREN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-01-31 |
Name of individual signing |
KAREN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONSUMERS CHOICE COFFEE 401(K) RETIREMENT SAVINGS PLAN
|
2010
|
610721863
|
2011-06-02
|
CONSUMERS CHOICE COFFEE, INC.
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-24
|
Business code |
424400
|
Sponsor’s telephone number |
5029684151
|
Plan sponsor’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539
|
Plan administrator’s name and address
Administrator’s EIN |
610721863 |
Plan administrator’s name |
CONSUMERS CHOICE COFFEE, INC. |
Plan administrator’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539 |
Administrator’s telephone number |
5029684151 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
KAREN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
KAREN BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CONSUMERS CHOICE COFFEE 401(K) RETIREMENT SAVINGS PLAN
|
2009
|
610721863
|
2010-07-21
|
CONSUMERS CHOICE COFFEE, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-02-24
|
Business code |
424400
|
Sponsor’s telephone number |
5029684151
|
Plan sponsor’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539
|
Plan administrator’s name and address
Administrator’s EIN |
610721863 |
Plan administrator’s name |
CONSUMERS CHOICE COFFEE, INC. |
Plan administrator’s
address |
1118 QUALITY CHOICE PL, LOUISVILLE, KY, 402101539 |
Administrator’s telephone number |
5029684151 |
Signature of
Role |
Plan administrator |
Date |
2010-07-21 |
Name of individual signing |
ROBERT W PATTERSON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-21 |
Name of individual signing |
ROBERT W PATTERSON JR |
Valid signature |
Filed with authorized/valid electronic signature |
|
|