SUPER/MART, INC. PROFIT SHARING PLAN
|
2019
|
141658513
|
2020-11-23
|
SUPER/MART, INC.
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2020-11-23 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2018
|
141658513
|
2020-06-25
|
SUPER/MART, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2020-06-25 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2017
|
141658513
|
2019-05-03
|
SUPER/MART, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2019-05-03 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2016
|
141658513
|
2018-07-11
|
SUPER/MART, INC.
|
57
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2018-07-11 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2015
|
141658513
|
2017-07-07
|
SUPER/MART, INC.
|
55
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2017-07-07 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2014
|
141658513
|
2016-07-15
|
SUPER/MART, INC.
|
50
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2016-07-15 |
Name of individual signing |
S SCOTT LUSHER |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2014
|
141658513
|
2016-12-01
|
SUPER/MART, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2016-12-01 |
Name of individual signing |
S SCOTT LUSHER |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2013
|
141658513
|
2015-07-15
|
SUPER/MART, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2015-07-15 |
Name of individual signing |
S SCOTT LUSHER |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2012
|
141658513
|
2014-05-01
|
SUPER/MART, INC.
|
50
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s
address |
241 RIVERSIDE AVENUE, RENSSELAER, NY, 12144
|
Signature of
Role |
Plan administrator |
Date |
2014-05-01 |
Name of individual signing |
GREGORY BOBERSKY |
|
|
SUPER/MART, INC. PROFIT SHARING PLAN
|
2011
|
141658513
|
2012-04-05
|
SUPER/MART, INC.
|
72
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-10-01
|
Business code |
447100
|
Sponsor’s telephone number |
5184653535
|
Plan sponsor’s mailing address |
41 RIVERSIDE AVE, RENSSELAER, NY, 12144
|
Plan sponsor’s
address |
41 RIVERSIDE AVE, RENSSELAER, NY, 12144
|
Plan administrator’s name and address
Administrator’s EIN |
141658513 |
Plan administrator’s name |
SUPER/MART, INC. |
Plan administrator’s
address |
41 RIVERSIDE AVE, RENSSELAER, NY, 12144 |
Administrator’s telephone number |
5184653535 |
Number of participants as of the end of the plan year
Active participants |
38 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
34 |
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 |
36 |
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 |
2012-04-05 |
Name of individual signing |
GREGORY BOBERSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|