DECLERCK FLOORING 401(K)
|
2016
|
161492496
|
2017-10-27
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9562 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2017-10-27 |
Name of individual signing |
KATHLEEN DECLERCK |
|
Role |
Employer/plan sponsor |
Date |
2017-10-27 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2016
|
161492496
|
2017-07-05
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9562 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2017-07-05 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2015
|
161492496
|
2016-04-21
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9562 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2016-04-21 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2014
|
161492496
|
2015-07-07
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9562 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2015-07-07 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2013
|
161492496
|
2014-07-07
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2014-07-07 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2012
|
161492496
|
2013-07-09
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9562 COUNTY RD 46, ARKPORT, NY, 14807
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2011
|
161492496
|
2012-04-18
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238900
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807
|
Plan administrator’s name and address
Administrator’s EIN |
161492496 |
Plan administrator’s name |
DECLERCK FLOORING, INC |
Plan administrator’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807 |
Administrator’s telephone number |
6072957840 |
Signature of
Role |
Plan administrator |
Date |
2012-04-18 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2010
|
161492496
|
2011-05-31
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238300
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807
|
Plan administrator’s name and address
Administrator’s EIN |
161492496 |
Plan administrator’s name |
DECLERCK FLOORING, INC |
Plan administrator’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807 |
Administrator’s telephone number |
6072957840 |
Signature of
Role |
Plan administrator |
Date |
2011-05-31 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2010
|
161492496
|
2011-05-31
|
DECLERCK FLOORING, INC
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238300
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807
|
Plan administrator’s name and address
Administrator’s EIN |
161492496 |
Plan administrator’s name |
DECLERCK FLOORING, INC |
Plan administrator’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807 |
Administrator’s telephone number |
6072957840 |
Signature of
Role |
Plan administrator |
Date |
2011-05-31 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|
DECLERCK FLOORING 401(K)
|
2009
|
161492496
|
2010-06-24
|
DECLERCK FLOORING, INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-02-10
|
Business code |
238300
|
Sponsor’s telephone number |
6072957840
|
Plan sponsor’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807
|
Plan administrator’s name and address
Administrator’s EIN |
161492496 |
Plan administrator’s name |
DECLERCK FLOORING, INC |
Plan administrator’s
address |
9596 COUNTY RD 46, ARKPORT, NY, 14807 |
Administrator’s telephone number |
6072957840 |
Signature of
Role |
Plan administrator |
Date |
2010-06-24 |
Name of individual signing |
KATHLEEN DECLERCK |
|
Role |
Employer/plan sponsor |
Date |
2010-06-24 |
Name of individual signing |
KATHLEEN DECLERCK |
|
|