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  5. DAVID SAMSON, INC.

DAVID SAMSON, INC.

Company Details

Name: DAVID SAMSON, INC.
Jurisdiction: New York
Legal type: UNAUTHORIZED BUSINESS CORPORATION
Status: Inactive
Date of registration: 01 Oct 1986 (38 years ago)
Date of dissolution: 01 Oct 1986
Entity Number: 1134928
ZIP code: 63132
County: Blank
Place of Formation: Missouri
Address: 10490 BAUR BLVD, OLIVETTE, MO, United States, 63132

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
DAVID SAMSON, INC. PROFIT SHARING PLAN 2016 112136068 2017-02-28 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Number of participants as of the end of the plan year
Active participants 0
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 0
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 2017-02-28
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2015 112136068 2016-03-22 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2016-03-22
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2014 112136068 2015-05-30 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2015-05-30
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2013 112136068 2014-05-07 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2014-05-07
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2012 112136068 2013-04-30 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2013-04-30
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2011 112136068 2012-06-20 DAVID SAMSON, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Plan administrator’s name and address
Administrator’s EIN 112136068
Plan administrator’s name DAVID SAMSON, INC.
Plan administrator’s address P.O. BOX 1013, SYOSSET, NY, 11791
Administrator’s telephone number 5163648414

Number of participants as of the end of the plan year
Active participants 5
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 5
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 2012-06-20
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature
DAVID SAMSON, INC. PROFIT SHARING PLAN 2009 112136068 2010-07-28 DAVID SAMSON, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1988-01-01
Business code 812990
Sponsor’s telephone number 5163648414
Plan sponsor’s mailing address P.O. BOX 1013, SYOSSET, NY, 11791
Plan sponsor’s address P.O. BOX 1013, SYOSSET, NY, 11791

Plan administrator’s name and address
Administrator’s EIN 112136068
Plan administrator’s name DAVID SAMSON, INC.
Plan administrator’s address P.O. BOX 1013, SYOSSET, NY, 11791
Administrator’s telephone number 5163648414

Number of participants as of the end of the plan year
Active participants 6
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 6
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 2010-07-28
Name of individual signing THOMAS SAMSON
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
DAVID SAMSON, INC. DOS Process Agent 10490 BAUR BLVD, OLIVETTE, MO, United States, 63132

Related by officers

DAVID SAMSON, INC.

DAVID SAMSON, INC.

Related by address

10490 BAUR BLVD, OLIVETTE, MO, United States, 63132

DAVID SAMSON, INC.

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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