FOUR M CAPITAL, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2011
|
202990094
|
2012-10-15
|
FOUR M CAPITAL, LLC
|
379
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan sponsor’s mailing address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
460 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
20 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC PROFIT SHARING PLAN AND TRUST
|
2010
|
202990094
|
2011-10-17
|
FOUR M CAPITAL, LLC
|
379
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
377 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-17 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC PROFIT SHARING PLAN AND TRUST
|
2010
|
202990094
|
2011-10-14
|
FOUR M CAPITAL, LLC
|
379
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE, SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
377 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-10-14 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
202990094
|
2011-03-30
|
FOUR M CAPITAL, LLC
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
322 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-30 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
2007 5500
|
2010
|
202990094
|
2011-03-30
|
FOUR M CAPITAL, LLC
|
231
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-01-01
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
230 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-30 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC
|
2010
|
202990094
|
2011-03-30
|
FOUR M CAPITAL, LLC
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-12-01
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
229 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-30 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2010
|
202990094
|
2011-03-22
|
FOUR M CAPITAL, LLC
|
230
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
322 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
9 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-22 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC
|
2010
|
202990094
|
2011-03-21
|
FOUR M CAPITAL, LLC
|
118
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2005-12-01
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
229 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
2007 5500
|
2010
|
202990094
|
2011-03-21
|
FOUR M CAPITAL, LLC
|
231
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2005-01-01
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
230 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-21 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FOUR M CAPITAL, LLC 401K PROFIT SHARING PLAN AND TRUST
|
2009
|
202990094
|
2011-03-22
|
FOUR M CAPITAL, LLC
|
322
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2005-01-01
|
Business code |
722110
|
Sponsor’s telephone number |
9147472552
|
Plan
sponsor’s DBA name |
BUFFALO WILD WINGS
|
Plan sponsor’s mailing address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan sponsor’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595
|
Plan administrator’s name and address
Administrator’s EIN |
202990094 |
Plan administrator’s name |
FOUR M CAPITAL, LLC |
Plan administrator’s
address |
115 STEVENS AVE., SUITE 105, VALHALLA, NY, 10595 |
Administrator’s telephone number |
9147472552 |
Number of participants as of the end of the plan year
Active participants |
379 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
15 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-03-22 |
Name of individual signing |
MICHAEL MEHIEL |
Valid signature |
Filed with authorized/valid electronic signature |
|
|