|
DOSS FUELCO, INC.
|
2011
|
610974123
|
2013-05-21
|
DOSS FUELCO, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
324190
|
| Sponsor’s telephone number |
6065733223
|
| Plan sponsor’s
address |
P. O. BOX 729, HARLAN, KY, 408310729
|
Plan administrator’s name and address
| Administrator’s EIN |
610974123 |
| Plan administrator’s name |
DOSS FUELCO, INC. |
| Plan administrator’s
address |
P. O. BOX 729, HARLAN, KY, 408310729 |
| Administrator’s telephone number |
6065733223 |
Signature of
| Role |
Plan administrator |
| Date |
2013-05-21 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-05-21 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOSS FUELCO, INC.
|
2010
|
610974123
|
2012-06-08
|
DOSS FUELCO, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
324190
|
| Sponsor’s telephone number |
6065733223
|
| Plan sponsor’s
address |
P. O. BOX 729, HARLAN, KY, 408310729
|
Plan administrator’s name and address
| Administrator’s EIN |
610974123 |
| Plan administrator’s name |
DOSS FUELCO, INC. |
| Plan administrator’s
address |
P. O. BOX 729, HARLAN, KY, 408310729 |
| Administrator’s telephone number |
6065733223 |
Signature of
| Role |
Plan administrator |
| Date |
2012-06-08 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-06-08 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DOSS FUELCO, INC.
|
2009
|
610974123
|
2010-11-14
|
DOSS FUELCO, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1980-10-01
|
| Business code |
324190
|
| Sponsor’s telephone number |
6065733223
|
| Plan sponsor’s mailing address |
P. O. BOX 729, HARLAN, KY, 408310729
|
| Plan sponsor’s
address |
US HWY 119, BAXTER, KY, 40806
|
Plan administrator’s name and address
| Administrator’s EIN |
610974123 |
| Plan administrator’s name |
DOSS FUELCO, INC. |
| Plan administrator’s
address |
P. O. BOX 729, HARLAN, KY, 408310729 |
| Administrator’s telephone number |
6065733223 |
Number of participants as of the end of the plan year
| Active participants |
11 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
11 |
| 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 |
2010-11-10 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-11-10 |
| Name of individual signing |
JEFFREY DOSS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
