|
TAKE SHAPE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
205428500
|
2020-05-27
|
TAKE SHAPE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5184501624
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2020-05-27 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
205428500
|
2019-07-14
|
TAKE SHAPE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5184501624
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2019-07-14 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
205428500
|
2017-06-23
|
TAKE SHAPE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5184501624
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2017-06-23 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
205428500
|
2016-06-16
|
TAKE SHAPE INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5184501624
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-16 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
205428500
|
2015-06-16
|
TAKE SHAPE INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5186180563
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2015-06-16 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
205428500
|
2014-06-16
|
TAKE SHAPE INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5186180563
|
| Plan sponsor’s
address |
227 GRAND AVE, SARATOGA SPRINGS, NY, 128663820
|
Signature of
| Role |
Plan administrator |
| Date |
2014-06-16 |
| Name of individual signing |
ERIC UCCI |
|
|
|
TAKE SHAPE INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
205428500
|
2013-07-31
|
TAKE SHAPE INC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
541990
|
| Sponsor’s telephone number |
5186180563
|
| Plan sponsor’s
address |
44 CLIMER CIR, WEST SAND LAKE, NY, 12196
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-31 |
| Name of individual signing |
TAKE SHAPE INC |
|
|
|
TAKE SHAPE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2009
|
205428500
|
2010-06-28
|
TAKE SHAPE INC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2008-01-01
|
| Business code |
541310
|
| Sponsor’s telephone number |
5186180563
|
| Plan sponsor’s mailing address |
44 CLIMER CIRCLE, WEST SAND LAKE, NY, 12196
|
| Plan sponsor’s
address |
44 CLIMER CIRCLE, WEST SAND LAKE, NY, 12196
|
Plan administrator’s name and address
| Administrator’s EIN |
205428500 |
| Plan administrator’s name |
TAKE SHAPE INC |
| Plan administrator’s
address |
44 CLIMER CIRCLE, WEST SAND LAKE, NY, 12196 |
| Administrator’s telephone number |
5186180563 |
Number of participants as of the end of the plan year
| Active participants |
0 |
| 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 |
0 |
| 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 |
2010-06-28 |
| Name of individual signing |
ERIC UCCI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
