FAZOLI'S RESTAURANT GROUP, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2012
|
205593113
|
2013-10-09
|
FAZOLI'S RESTAURANT GROUP, INC.
|
1224
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
978 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
62 |
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 |
139 |
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 |
2013-10-09 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-09 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2011
|
205593113
|
2012-10-09
|
FAZOLI'S RESTAURANT GROUP, INC.
|
1137
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
954 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
58 |
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 |
216 |
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 |
2012-10-08 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-08 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. 401(K) RETIREMENT SAVINGS PLAN
|
2010
|
205593113
|
2011-10-11
|
FAZOLI'S RESTAURANT GROUP, INC.
|
1328
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1994-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DR, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
1162 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
70 |
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 |
225 |
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 |
2011-10-11 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-07 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. MEMBER LIFE INSURANCE ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE
|
2009
|
205593113
|
2011-01-13
|
FAZOLI'S RESTAURANT GROUP, INC.
|
325
|
|
File |
View Page
|
Three-digit plan number (PN) |
504
|
Effective date of plan |
1991-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
341 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-01-13 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-13 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. LONG TERM DISABILITY INSURANCE PLAN
|
2009
|
205593113
|
2011-01-13
|
FAZOLI'S RESTAURANT GROUP, INC.
|
325
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1991-10-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
341 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. DENTAL PLAN (MEMBER AND DEPENDENT DENTAL EXPENSE)
|
2009
|
205593113
|
2011-01-13
|
FAZOLI'S RESTAURANT GROUP, INC.
|
382
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
1991-10-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
322 |
Retired or separated participants receiving
benefits |
12 |
Other
retired or separated participants entitled to future benefits |
17 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FAZOLI'S RESTAURANT GROUP, INC. MEDICAL PLAN (MEMBER AND DEPENDENT MEDICAL EXPENSE)
|
2009
|
205593113
|
2011-01-13
|
FAZOLI'S RESTAURANT GROUP, INC.
|
380
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1991-10-01
|
Business code |
722210
|
Sponsor’s telephone number |
8592681668
|
Plan sponsor’s mailing address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan sponsor’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509
|
Plan administrator’s name and address
Administrator’s EIN |
205593113 |
Plan administrator’s name |
FAZOLI'S RESTAURANT GROUP, INC. |
Plan administrator’s
address |
2470 PALUMBO DRIVE, LEXINGTON, KY, 40509 |
Administrator’s telephone number |
8592681668 |
Number of participants as of the end of the plan year
Active participants |
318 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
17 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
DAVID CRAIG |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
RODNEY LEE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|