TUSCALOOSA SUPPLY COMPANY, INC RETIREMENT PLAN
|
2019
|
460637743
|
2020-07-21
|
TUSCALOOSA SUPPLY COMPANY, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-24
|
Business code |
454390
|
Sponsor’s telephone number |
2053946917
|
Plan
sponsor’s DBA name |
TUSCALOOSA SUPPLY COMPANY, INC
|
Plan sponsor’s mailing address |
3101 25TH AVENUE UNIT A, TUSCALOOSA, AL, 35401
|
Plan sponsor’s
address |
3101 25TH AVENUE UNIT A, TUSCALOOSA, AL, 35401
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2020-07-21 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-21 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TUSCALOOSA SUPPLY COMPANY, INC RETIREMENT PLAN
|
2018
|
460637743
|
2019-07-20
|
TUSCALOOSA SUPPLY COMPANY, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-24
|
Business code |
454390
|
Sponsor’s telephone number |
2053946917
|
Plan
sponsor’s DBA name |
TUSCALOOSA SUPPLY COMPANY, INC
|
Plan sponsor’s mailing address |
6130 OLD GREENSBORO ROAD, TUSCALOOSA, AL, 35405
|
Plan sponsor’s
address |
6130 OLD GREENSBORO ROAD, TUSCALOOSA, AL, 35405
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-07-20 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-20 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TUSCALOOSA SUPPLY COMPANY, INC RETIREMENT PLAN
|
2017
|
460637743
|
2018-07-16
|
TUSCALOOSA SUPPLY COMPANY, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-24
|
Business code |
454390
|
Sponsor’s telephone number |
2053946917
|
Plan
sponsor’s DBA name |
TUSCALOOSA SUPPLY COMPANY, INC
|
Plan sponsor’s mailing address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
Plan sponsor’s
address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TUSCALOOSA MEDICAL SUPPLY, INC. RETIREMENT PLAN
|
2016
|
460637743
|
2017-09-04
|
TUSCALOOSA MEDICAL SUPPLY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-24
|
Business code |
454390
|
Sponsor’s telephone number |
2053946917
|
Plan sponsor’s mailing address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
Plan sponsor’s
address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
Number of participants as of the end of the plan year
Active participants |
1 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-09-04 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-04 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
TUSCALOOSA MEDICAL SUPPLY, INC. RETIREMENT PLAN
|
2015
|
460637743
|
2017-08-09
|
TUSCALOOSA MEDICAL SUPPLY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-07-24
|
Business code |
454390
|
Sponsor’s telephone number |
2053946917
|
Plan sponsor’s mailing address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
Plan sponsor’s
address |
6130 OLD GREENSBORO RD, TUSCALOOSA, AL, 354055923
|
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 |
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 |
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 |
2017-08-09 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-09 |
Name of individual signing |
HENRY HAJEK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|