INSERRA'S FLOORING OUTLET, INC. 401K PS PLAN
|
2023
|
161608060
|
2024-06-29
|
INSERRA'S FLOORING OUTLET, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT 49, MARCY, NY, 13403
|
Signature of
Role |
Plan administrator |
Date |
2024-06-29 |
Name of individual signing |
SAMUEL RUDOLPH |
|
Role |
Employer/plan sponsor |
Date |
2024-06-29 |
Name of individual signing |
SAMUEL RUDOLPH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2022
|
161608060
|
2023-04-19
|
INSERRA'S FLOORING OUTLET, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
PO BOX 226, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2023-04-19 |
Name of individual signing |
SAMUEL RUDOLPH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2022
|
161608060
|
2023-03-23
|
INSERRA'S FLOORING OUTLET, INC.
|
18
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
PO BOX 226, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2023-03-23 |
Name of individual signing |
SAMUEL RUDOLPH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2021
|
161608060
|
2022-04-28
|
INSERRA'S FLOORING OUTLET, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2022-04-28 |
Name of individual signing |
SAMUEL RUDOLPH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2020
|
161608060
|
2021-06-25
|
INSERRA'S FLOORING OUTLET, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2021-06-25 |
Name of individual signing |
KATHY BRUSH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2019
|
161608060
|
2020-06-10
|
INSERRA'S FLOORING OUTLET, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2020-06-10 |
Name of individual signing |
KATHY BRUSH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2018
|
161608060
|
2019-04-26
|
INSERRA'S FLOORING OUTLET, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2019-04-26 |
Name of individual signing |
KATHY BRUSH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2017
|
161608060
|
2018-03-16
|
INSERRA'S FLOORING OUTLET, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2018-03-16 |
Name of individual signing |
KATHY BRUSH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2016
|
161608060
|
2017-05-03
|
INSERRA'S FLOORING OUTLET, INC.
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9220 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9220 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2017-05-03 |
Name of individual signing |
KATHY BRUSH |
|
|
INSERRA'S FLOORING OUTLET, INC. 401(K) P/S PLAN
|
2015
|
161608060
|
2016-06-30
|
INSERRA'S FLOORING OUTLET, INC.
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
442210
|
Sponsor’s telephone number |
3157680222
|
Plan sponsor’s
address |
9225 RT. 49, MARCY, NY, 13403
|
Plan administrator’s name and address
Administrator’s EIN |
161608060 |
Plan administrator’s name |
INSERRA'S FLOORING OUTLET, INC. |
Plan administrator’s
address |
9225 RT. 49, MARCY, NY, 13403 |
Administrator’s telephone number |
3157680222 |
Signature of
Role |
Plan administrator |
Date |
2016-06-30 |
Name of individual signing |
KATHY BRUSH |
|
|