|
EMPLOYEE BENEFITS PLAN OF GOLDEN AGE, INC.
|
2011
|
640339632
|
2012-10-11
|
GOLDEN AGE, INC.
|
307
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-01-01
|
| Business code |
623000
|
| Plan sponsor’s mailing address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
| Plan sponsor’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
Plan administrator’s name and address
| Administrator’s EIN |
640339632 |
| Plan administrator’s name |
GOLDEN AGE, INC. |
| Plan administrator’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930 |
Number of participants as of the end of the plan year
| Active participants |
299 |
| Other
retired or separated participants entitled to future benefits |
23 |
| Number of
participants
with
account balances as of the end of the plan year |
322 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
5 |
Signature of
| Role |
Plan administrator |
| Date |
2012-10-11 |
| Name of individual signing |
NAY REED |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFITS PLAN OF GOLDEN AGE INC.
|
2010
|
640339632
|
2011-10-11
|
GOLDEN AGE INC
|
294
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6624536323
|
| Plan sponsor’s mailing address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
| Plan sponsor’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
Plan administrator’s name and address
| Administrator’s EIN |
640339632 |
| Plan administrator’s name |
GOLDEN AGE INC |
| Plan administrator’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930 |
| Administrator’s telephone number |
6624536323 |
Number of participants as of the end of the plan year
| Active participants |
279 |
| Other
retired or separated participants entitled to future benefits |
26 |
| 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 |
306 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
4 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-11 |
| Name of individual signing |
THOMAS HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EMPLOYEE BENEFITS PLAN OF GOLDEN AGE INC
|
2009
|
640339632
|
2010-10-05
|
GOLDEN AGE INC
|
278
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1979-01-01
|
| Business code |
623000
|
| Sponsor’s telephone number |
6624536323
|
| Plan sponsor’s mailing address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
| Plan sponsor’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930
|
Plan administrator’s name and address
| Administrator’s EIN |
640339632 |
| Plan administrator’s name |
GOLDEN AGE INC |
| Plan administrator’s
address |
2901 HWY 82 EAST, GREENWOOD, MS, 38930 |
| Administrator’s telephone number |
6624536323 |
Number of participants as of the end of the plan year
| Active participants |
264 |
| Retired or separated participants receiving
benefits |
1 |
| Other
retired or separated participants entitled to future benefits |
28 |
| Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
| Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
2 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-05 |
| Name of individual signing |
THOMAS HILL |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
