LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2020
|
113103592
|
2021-06-25
|
LAKEVILLE DONUTS, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2019
|
113103592
|
2020-04-17
|
LAKEVILLE DONUTS, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2020-04-16 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2018
|
113103592
|
2019-05-09
|
LAKEVILLE DONUTS, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2019-05-09 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2017
|
113103592
|
2018-06-19
|
LAKEVILLE DONUTS, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2016
|
113103592
|
2017-06-07
|
LAKEVILLE DONUTS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2017-06-07 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2015
|
113103592
|
2016-07-18
|
LAKEVILLE DONUTS, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
722515
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE ROAD, NEW HYDE PARK, NY, 11040
|
Signature of
Role |
Plan administrator |
Date |
2016-07-18 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2014
|
113103592
|
2015-10-05
|
LAKEVILLE DONUTS, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE RD, NEW HYDE PARK, NY, 110401664
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2013
|
113103592
|
2014-09-15
|
LAKEVILLE DONUTS, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE RD, NEW HYDE PARK, NY, 110401664
|
Signature of
Role |
Plan administrator |
Date |
2014-09-15 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2012
|
113103592
|
2013-07-16
|
LAKEVILLE DONUTS, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE RD, ATTN HEFZIBA IZSAK, NEW HYDE PARK, NY, 110401664
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
JOSEPH CALVACCA |
|
|
LAKEVILLE DONUTS, INC. 401(K) PLAN
|
2011
|
113103592
|
2012-07-27
|
LAKEVILLE DONUTS, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
5162868437
|
Plan sponsor’s
address |
2062 LAKEVILLE RD, ATTN HEFZIBA IZSAK, NEW HYDE PARK, NY, 110401664
|
Plan administrator’s name and address
Administrator’s EIN |
113103592 |
Plan administrator’s name |
LAKEVILLE DONUTS, INC. |
Plan administrator’s
address |
2062 LAKEVILLE RD, ATTN HEFZIBA IZSAK, NEW HYDE PARK, NY, 110401664 |
Administrator’s telephone number |
5162868437 |
Signature of
Role |
Plan administrator |
Date |
2012-07-27 |
Name of individual signing |
JOSEPH CALVACCA |
|
|