|
OLD TAVERN FARM 401(K) PLAN
|
2023
|
810736484
|
2024-10-01
|
OLD TAVERN FARM
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
112300
|
| Sponsor’s telephone number |
5184281213
|
| Plan sponsor’s
address |
1136 RT 9P, SARATOGA SPRING, NY, 12866
|
Signature of
| Role |
Plan administrator |
| Date |
2024-10-01 |
| Name of individual signing |
WALTER BORISENOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-10-01 |
| Name of individual signing |
WALTER BORISENOK |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
OLD TAVERN FARM 401(K) PLAN
|
2022
|
810736484
|
2023-10-13
|
OLD TAVERN FARM
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
112300
|
| Sponsor’s telephone number |
5184281213
|
| Plan sponsor’s
address |
1136 RT 9P, SARATOGA SPRING, NY, 12866
|
Signature of
| Role |
Plan administrator |
| Date |
2023-10-13 |
| Name of individual signing |
WALTER BORISENOK |
|
| Role |
Employer/plan sponsor |
| Date |
2023-10-13 |
| Name of individual signing |
WALTER BORISENOK |
|
|
