|
CLEAN GREEN MACHINE INC 401(K) PLAN
|
2018
|
270782633
|
2020-12-05
|
CLEAN GREEN MACHINE INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-08-21
|
| Business code |
561720
|
| Sponsor’s telephone number |
6319873454
|
| Plan sponsor’s mailing address |
50 DANES ST, PATCHOGUE, NY, 117723835
|
| Plan sponsor’s
address |
50 DANES ST, PATCHOGUE, NY, 117723835
|
Number of participants as of the end of the plan year
Signature of
| Role |
Plan administrator |
| Date |
2020-12-05 |
| Name of individual signing |
PETE POLSELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2020-12-05 |
| Name of individual signing |
PETE POLSELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLEAN GREEN MACHINE INC 401(K) PLAN
|
2016
|
270782633
|
2018-08-28
|
CLEAN GREEN MACHINE INC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-08-21
|
| Business code |
561720
|
| Sponsor’s telephone number |
6319873454
|
| Plan sponsor’s mailing address |
50 DANES ST, PATCHOGUE, NY, 11772
|
| Plan sponsor’s
address |
50 DANES ST, PATCHOGUE, NY, 11772
|
Number of participants as of the end of the plan year
| Active participants |
1 |
| Retired or separated participants receiving
benefits |
0 |
| Other
retired or separated participants entitled to future benefits |
0 |
| Number of
participants
with
account balances as of the end of the plan year |
1 |
| 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 |
2018-08-28 |
| Name of individual signing |
PETE POLSELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2018-08-28 |
| Name of individual signing |
PETE POLSELLI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
