OTTOS MARKET 401(K)
|
2015
|
263214866
|
2016-12-06
|
SMALL TOWN GROCER, INC
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Signature of
Role |
Plan administrator |
Date |
2016-12-06 |
Name of individual signing |
OTTO LEUSCHEL |
|
Role |
Employer/plan sponsor |
Date |
2016-12-06 |
Name of individual signing |
OTTO LEUSCHEL |
|
|
OTTOS MARKET 401(K)
|
2015
|
263214866
|
2016-08-22
|
SMALL TOWN GROCER, INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan
sponsor’s DBA name |
OTTOS MARKET
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Signature of
Role |
Plan administrator |
Date |
2016-08-22 |
Name of individual signing |
OTTO LEUSCHEL |
|
Role |
Employer/plan sponsor |
Date |
2016-08-22 |
Name of individual signing |
OTTO LEUSCHEL |
|
|
OTTOS MARKET 401(K)
|
2014
|
263214866
|
2016-01-04
|
SMALL TOWN GROCER, INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan
sponsor’s DBA name |
OTTOS MARKET
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Signature of
Role |
Plan administrator |
Date |
2016-01-04 |
Name of individual signing |
OTTO LEUSCHEL |
|
Role |
Employer/plan sponsor |
Date |
2016-01-04 |
Name of individual signing |
OTTO LEUSCHEL |
|
|
OTTOS MARKET 401(K)
|
2013
|
263214866
|
2014-10-07
|
SMALL TOWN GROCER, INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan
sponsor’s DBA name |
OTTOS MARKET
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Signature of
Role |
Plan administrator |
Date |
2014-10-07 |
Name of individual signing |
OTTO LEUSCHEL |
|
|
OTTOS MARKET 401(K)
|
2012
|
263214866
|
2013-10-16
|
SMALL TOWN GROCER, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan
sponsor’s DBA name |
OTTOS MARKET
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Signature of
Role |
Plan administrator |
Date |
2013-10-16 |
Name of individual signing |
OTTO H. LEUSCHEL |
|
Role |
Employer/plan sponsor |
Date |
2013-10-16 |
Name of individual signing |
OTTO H. LEUSCHEL |
|
|
OTTOS MARKET 401(K)
|
2011
|
263214866
|
2012-10-11
|
SMALL TOWN GROCER, INC
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-09-01
|
Business code |
445110
|
Sponsor’s telephone number |
5185377200
|
Plan
sponsor’s DBA name |
OTTOS MARKET
|
Plan sponsor’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526
|
Plan administrator’s name and address
Administrator’s EIN |
263214866 |
Plan administrator’s name |
SMALL TOWN GROCER, INC |
Plan administrator’s
address |
215 MAIN STREET, PO BOX 648, GERMANTOWN, NY, 12526 |
Administrator’s telephone number |
5185377200 |
Signature of
Role |
Plan administrator |
Date |
2012-10-11 |
Name of individual signing |
OTTO LEUSCHEL |
|
|