JOHN S. BLAZEY PROFIT SHARING PLAN
|
2014
|
150611533
|
2015-01-28
|
JOHN S. BLAZEY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST., PALMYRA, NY, 14522
|
Signature of
Role |
Plan administrator |
Date |
2015-01-28 |
Name of individual signing |
JAMES R. BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2013
|
150611533
|
2014-05-06
|
JOHN S. BLAZEY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Signature of
Role |
Plan administrator |
Date |
2014-05-06 |
Name of individual signing |
JAMES R BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2012
|
150611533
|
2014-05-06
|
JOHN S. BLAZEY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Signature of
Role |
Plan administrator |
Date |
2014-05-06 |
Name of individual signing |
JAMES R BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2012
|
150611533
|
2013-10-15
|
JOHN S. BLAZEY, INC.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
JAMES R BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2011
|
150611533
|
2012-07-30
|
JOHN S. BLAZEY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Plan administrator’s name and address
Administrator’s EIN |
150611533 |
Plan administrator’s name |
JOHN S. BLAZEY, INC. |
Plan administrator’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109 |
Administrator’s telephone number |
3155975121 |
Signature of
Role |
Plan administrator |
Date |
2012-07-30 |
Name of individual signing |
JAMES R BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2010
|
150611533
|
2011-06-03
|
JOHN S. BLAZEY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Plan administrator’s name and address
Administrator’s EIN |
150611533 |
Plan administrator’s name |
JOHN S. BLAZEY, INC. |
Plan administrator’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109 |
Administrator’s telephone number |
3155975121 |
Signature of
Role |
Plan administrator |
Date |
2011-06-03 |
Name of individual signing |
JOHN T. BLAZEY |
|
|
JOHN S. BLAZEY PROFIT SHARING AND TRUST
|
2009
|
150611533
|
2010-08-03
|
JOHN S. BLAZEY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1966-12-31
|
Business code |
444200
|
Sponsor’s telephone number |
3155975121
|
Plan sponsor’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109
|
Plan administrator’s name and address
Administrator’s EIN |
150611533 |
Plan administrator’s name |
JOHN S. BLAZEY, INC. |
Plan administrator’s
address |
111 HOLMES ST, PALMYRA, NY, 145221109 |
Administrator’s telephone number |
3155975121 |
Signature of
Role |
Plan administrator |
Date |
2010-08-03 |
Name of individual signing |
JOHN T. BLAZEY |
|
|