|
CHUCK ROBERTS, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
550862392
|
2012-07-31
|
CHUCK ROBERTS, INC.
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
531210
|
| Sponsor’s telephone number |
6623497775
|
| Plan sponsor’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672
|
Plan administrator’s name and address
| Administrator’s EIN |
550862392 |
| Plan administrator’s name |
CHUCK ROBERTS, INC. |
| Plan administrator’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672 |
| Administrator’s telephone number |
6623497775 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-31 |
| Name of individual signing |
CHUCK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHUCK ROBERTS, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
550862392
|
2011-07-19
|
CHUCK ROBERTS, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
531210
|
| Sponsor’s telephone number |
6623497775
|
| Plan sponsor’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672
|
Plan administrator’s name and address
| Administrator’s EIN |
550862392 |
| Plan administrator’s name |
CHUCK ROBERTS, INC. |
| Plan administrator’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672 |
| Administrator’s telephone number |
6623497775 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-19 |
| Name of individual signing |
CHUCK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CHUCK ROBERTS, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
550862392
|
2010-08-02
|
CHUCK ROBERTS, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-01-01
|
| Business code |
531210
|
| Sponsor’s telephone number |
6623497775
|
| Plan sponsor’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672
|
Plan administrator’s name and address
| Administrator’s EIN |
550862392 |
| Plan administrator’s name |
CHUCK ROBERTS, INC. |
| Plan administrator’s
address |
5779 GETWELL ROAD, SOUTHAVEN, MS, 38672 |
| Administrator’s telephone number |
6623497775 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
CHUCK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-30 |
| Name of individual signing |
CHUCK ROBERTS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
