DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2023
|
161610851
|
2024-05-17
|
DOUBLE, DOUBLE INC.
|
67
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2024-05-17 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2024-05-17 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2022
|
161610851
|
2023-05-18
|
DOUBLE, DOUBLE INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2023-05-18 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2023-05-18 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2021
|
161610851
|
2022-06-17
|
DOUBLE, DOUBLE INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2022-06-17 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2022-06-17 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2020
|
161610851
|
2021-06-16
|
DOUBLE, DOUBLE INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
P. O. BOX 602, 3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2021-06-16 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2021-06-16 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2019
|
161610851
|
2020-06-17
|
DOUBLE, DOUBLE INC.
|
87
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
P. O. BOX 602, 3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2020-06-17 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2020-06-17 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2018
|
161610851
|
2019-06-05
|
DOUBLE, DOUBLE INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
P. O. BOX 602, 3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2019-06-05 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2019-06-05 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2017
|
161610851
|
2018-06-18
|
DOUBLE, DOUBLE INC.
|
65
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
P. O. BOX 602, 3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2018-06-18 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2018-06-18 |
Name of individual signing |
LYNN TRAVERSE |
|
|
DOUBLE, DOUBLE INC. 401(K) PROFIT SHARING PLAN
|
2016
|
161610851
|
2017-05-19
|
DOUBLE, DOUBLE INC.
|
70
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2016-01-01
|
Business code |
722513
|
Sponsor’s telephone number |
7166621559
|
Plan sponsor’s
address |
P. O. BOX 602, 3400 SOUTHWESTERN BLVD., ORCHARD PARK, NY, 14127
|
Signature of
Role |
Plan administrator |
Date |
2017-05-19 |
Name of individual signing |
LYNN TRAVERSE |
|
Role |
Employer/plan sponsor |
Date |
2017-05-19 |
Name of individual signing |
LYNN TRAVERSE |
|
|