SUSIE Q. INC. DEFINED BENEFIT PLAN & TRUST
|
2010
|
113152998
|
2011-08-31
|
SUSIE Q. INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6317572058
|
Plan sponsor’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768
|
Plan administrator’s name and address
Administrator’s EIN |
113152998 |
Plan administrator’s name |
SUSIE Q. INC. |
Plan administrator’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768 |
Administrator’s telephone number |
6317572058 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
RICHARD GRAVER |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
RICHARD GRAVER |
|
|
SUSIE Q. INC. DEFINED BENEFIT PLAN & TRUST
|
2009
|
113152998
|
2011-08-31
|
SUSIE Q. INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6317572058
|
Plan sponsor’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768
|
Plan administrator’s name and address
Administrator’s EIN |
113152998 |
Plan administrator’s name |
SUSIE Q. INC. |
Plan administrator’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768 |
Administrator’s telephone number |
6317572058 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
RICHARD GRAVER |
|
Role |
Employer/plan sponsor |
Date |
2011-08-30 |
Name of individual signing |
RICHARD GRAVER |
|
|
SUSIE Q. INC. DEFINED BENEFIT PLAN & TRUST
|
2009
|
113152998
|
2010-10-11
|
SUSIE Q. INC.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2002-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
6317572058
|
Plan sponsor’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768
|
Plan administrator’s name and address
Administrator’s EIN |
113152998 |
Plan administrator’s name |
SUSIE Q. INC. |
Plan administrator’s
address |
411 ASHAROKEN AVE., NORTHPORT, NY, 11768 |
Administrator’s telephone number |
6317572058 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
RICHARD GRAVER |
|
Role |
Employer/plan sponsor |
Date |
2010-10-11 |
Name of individual signing |
RICHARD GRAVER |
|
|