RETIREMENT SECURITY PLAN AND TRUST
|
2019
|
270846960
|
2020-05-07
|
ESTEBANIA ENTERPRISES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
510 HOSPITAL DR, STE 490, MADISON, TN, 37115
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
252411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
510 HOSPITAL DR, STE 490, MADISON, TN, 37115 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-05-07 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2018
|
270846960
|
2019-10-10
|
ESTEBANIA ENTERPRISES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
510 HOSPITAL DR, STE 490, MADISON, TN, 37115
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
252411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
510 HOSPITAL DR, STE 490, MADISON, TN, 37115 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2019-10-03 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2017
|
270846960
|
2018-10-13
|
ESTEBANIA ENTERPRISES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
1101 KERMIT DR STE 735, NASHVILLE, TN, 37217
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
1101 KERMIT DR STE 735, NASHVILLE, TN, 37217 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
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 |
2018-10-12 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2016
|
270846960
|
2017-10-13
|
ESTEBANIA ENTERPRISES INC
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2017-10-13 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2015
|
270846960
|
2016-10-14
|
ESTEBANIA ENTERPRISES INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Other
retired or separated participants entitled to future benefits |
3 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2014
|
270846960
|
2015-10-14
|
ESTEBANIA ENTERPRISES INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
0 |
Other
retired or separated participants entitled to future benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2015-10-13 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2013
|
270846960
|
2015-08-19
|
ESTEBANIA ENTERPRISES INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2015-08-18 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2013
|
270846960
|
2014-10-14
|
ESTEBANIA ENTERPRISES INC
|
5
|
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
6153700051
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Other
retired or separated participants entitled to future benefits |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2014-10-14 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2012
|
270846960
|
2013-10-15
|
ESTEBANIA ENTERPRISES INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37027
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT ROAD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-10-14 |
Name of individual signing |
JEANNE B BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
RETIREMENT SECURITY PLAN AND TRUST
|
2011
|
270846960
|
2012-10-15
|
ESTEBANIA ENTERPRISES INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
333
|
Effective date of plan |
2003-01-01
|
Business code |
541990
|
Plan sponsor’s mailing address |
PO BOX 2307, BRENTWOOD, TN, 37024
|
Plan sponsor’s
address |
3126 BROCKPORT SPENSORPORT RD, SPENSORPORT, NY, 14559
|
Plan administrator’s name and address
Administrator’s EIN |
262411020 |
Plan administrator’s name |
JEANNE B BRYANT |
Plan administrator’s
address |
PO BOX 2307, BRENTWOOD, TN, 37027 |
Administrator’s telephone number |
6153700051 |
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Signature of
Role |
Plan administrator |
Date |
2012-10-15 |
Name of individual signing |
JEANNE BRYANT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|