|
GRUMPY'S, INC. 401(K) PLAN
|
2013
|
274399901
|
2015-02-19
|
GRUMPY'S, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-12-23
|
| Business code |
445120
|
| Sponsor’s telephone number |
8596998082
|
| Plan sponsor’s mailing address |
70 NEW SHINER ROAD, WILLIAMSBURG, KY, 40769
|
| Plan sponsor’s
address |
755 SOUTH 10TH STREET, WILLIAMSBURG, KY, 40709
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2015-02-19 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2015-02-19 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRUMPY'S, INC. 401(K) PLAN
|
2012
|
274399901
|
2013-11-04
|
GRUMPY'S, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-12-23
|
| Business code |
445120
|
| Sponsor’s telephone number |
8596998082
|
| Plan sponsor’s mailing address |
99 JESSON STREET, CORBIN, KY, 40701
|
| Plan sponsor’s
address |
755 SOUTH 10TH STREET, WILLIAMSBURG, KY, 40709
|
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2013-11-04 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-11-04 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRUMPY'S, INC. 401(K) PLAN
|
2011
|
274399901
|
2012-11-15
|
GRUMPY'S, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-12-23
|
| Business code |
445120
|
| Sponsor’s telephone number |
8596998082
|
| Plan sponsor’s mailing address |
99 JESSON STREET, CORBIN, KY, 40701
|
| Plan sponsor’s
address |
755 SOUTH 10TH STREET, WILLIAMSBURG, KY, 40709
|
Plan administrator’s name and address
| Administrator’s EIN |
274399901 |
| Plan administrator’s name |
GRUMPY'S, INC. |
| Plan administrator’s
address |
99 JESSON STREET, CORBIN, KY, 40701 |
| Administrator’s telephone number |
8596998082 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRUMPY'S, INC. 401(K) PLAN
|
2011
|
274399901
|
2012-11-15
|
GRUMPY'S, INC.
|
2
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-12-23
|
| Business code |
445120
|
| Sponsor’s telephone number |
8596998082
|
| Plan sponsor’s mailing address |
99 JESSON STREET, CORBIN, KY, 40701
|
| Plan sponsor’s
address |
755 SOUTH 10TH STREET, WILLIAMSBURG, KY, 40709
|
Plan administrator’s name and address
| Administrator’s EIN |
274399901 |
| Plan administrator’s name |
GRUMPY'S, INC. |
| Plan administrator’s
address |
99 JESSON STREET, CORBIN, KY, 40701 |
| Administrator’s telephone number |
8596998082 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GRUMPY'S, INC. 401(K) PLAN
|
2011
|
274399901
|
2012-11-15
|
GRUMPY'S, INC.
|
2
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2010-12-23
|
| Business code |
445120
|
| Sponsor’s telephone number |
8596998082
|
| Plan sponsor’s mailing address |
99 JESSON STREET, CORBIN, KY, 40701
|
| Plan sponsor’s
address |
755 SOUTH 10TH STREET, WILLIAMSBURG, KY, 40709
|
Plan administrator’s name and address
| Administrator’s EIN |
274399901 |
| Plan administrator’s name |
GRUMPY'S, INC. |
| Plan administrator’s
address |
99 JESSON STREET, CORBIN, KY, 40701 |
| Administrator’s telephone number |
8596998082 |
Number of participants as of the end of the plan year
| Active participants |
2 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
2 |
| 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 |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-11-15 |
| Name of individual signing |
NATHAN L. SWIFT |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
