PREMIUM WINE GROUP LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
113542232
|
2020-07-16
|
PREMIUM WINE GROUP LLC
|
34
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|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
312130
|
Sponsor’s telephone number |
6317341100
|
Plan sponsor’s
address |
13050 OREGON ROAD, PO BOX 907, CUTUCHOGUE, NY, 11952
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
TED GAVIN |
|
|
PREMIUM WINE GROUP LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
113542232
|
2019-07-29
|
PREMIUM WINE GROUP LLC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
312130
|
Sponsor’s telephone number |
6317341100
|
Plan sponsor’s
address |
13050 OREGON ROAD, PO BOX 907, CUTUCHOGUE, NY, 11952
|
Signature of
Role |
Plan administrator |
Date |
2019-07-29 |
Name of individual signing |
TED GAVIN |
|
|
PREMIUM WINE GROUP LLC 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
113542232
|
2018-08-21
|
PREMIUM WINE GROUP LLC
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-06-01
|
Business code |
312130
|
Sponsor’s telephone number |
6317341100
|
Plan sponsor’s
address |
13050 OREGON ROAD, PO BOX 907, CUTUCHOGUE, NY, 11952
|
Signature of
Role |
Plan administrator |
Date |
2018-08-21 |
Name of individual signing |
RICHARD BAILEY |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2015
|
113542232
|
2017-08-24
|
PREMIUM WINE GROUP, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 119521458
|
Signature of
Role |
Plan administrator |
Date |
2017-08-24 |
Name of individual signing |
RICHARD BAILEY |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2014
|
113542232
|
2015-10-13
|
PREMIUM WINE GROUP, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
DAVID SANATORE |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2013
|
113542232
|
2014-08-27
|
PREMIUM WINE GROUP, LLC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2014-08-27 |
Name of individual signing |
RUSSELL HEARN |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2012
|
113542232
|
2013-10-08
|
PREMIUM WINE GROUP, LLC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2013-10-08 |
Name of individual signing |
RUSSELL HEARN |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2011
|
113542232
|
2012-06-27
|
PREMIUM WINE GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
RUSSELL HEARN |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2010
|
113542232
|
2011-06-29
|
PREMIUM WINE GROUP, LLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-29 |
Name of individual signing |
RUSSELL HEARN |
|
|
PREMIUM WINE GROUP, LLC 401(K) P/S PLAN
|
2009
|
113542232
|
2010-09-29
|
PREMIUM WINE GROUP, LLC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-04-01
|
Business code |
111300
|
Sponsor’s telephone number |
6312981900
|
Plan sponsor’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952
|
Plan administrator’s name and address
Administrator’s EIN |
113542232 |
Plan administrator’s name |
PREMIUM WINE GROUP, LLC |
Plan administrator’s
address |
35 COX NECK RD, MATTITUCK, NY, 11952 |
Administrator’s telephone number |
6312981900 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
RUSSELL HEARN |
|
|