WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, LLC)
|
2020
|
581829996
|
2021-09-29
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
512
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2021-09-17 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-09-17 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, LLC)
|
2019
|
581829996
|
2020-09-17
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
444
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2020-09-11 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-09-11 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, LLC)
|
2018
|
581829996
|
2019-09-26
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
483
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-16 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY RESTAURANT CONCEPTS, LLC LIFE & DISABILITY PLAN
|
2017
|
581829996
|
2018-10-04
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
277
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, LLC)
|
2017
|
581829996
|
2018-10-04
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
452
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2018-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY RESTAURANT CONCEPTS, L.L.C. LIFE & DISABILITY INSURANCE PLAN
|
2016
|
581829996
|
2017-10-03
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
282
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan administrator’s name and address
Administrator’s EIN |
581829996 |
Plan administrator’s name |
QUALITY RESTAURANT CONCEPTS, L.L.C. |
Plan administrator’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-09-29 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-09-29 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, L.L.C.)
|
2016
|
581829996
|
2017-10-03
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
525
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan administrator’s name and address
Administrator’s EIN |
581829996 |
Plan administrator’s name |
QUALITY RESTAURANT CONCEPTS, LLC |
Plan administrator’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-10-02 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-10-02 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
WELFARE PLAN FOR EMPLOYEES OF APPLE OF NORTH ALABAMA, INC. (QUALITY RESTAURANT CONCEPTS, L.L.C.)
|
2015
|
581829996
|
2017-01-27
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
600
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1999-01-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan administrator’s name and address
Administrator’s EIN |
581829996 |
Plan administrator’s name |
QUALITY RESTAURANT CONCEPTS, LLC |
Plan administrator’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-01-20 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-01-20 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY RESTAURANT CONCEPTS, L.L.C. LIFE & DISABILITY INSURANCE PLAN
|
2015
|
581829996
|
2016-10-04
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
291
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan administrator’s name and address
Administrator’s EIN |
581829996 |
Plan administrator’s name |
QUALITY RESTAURANT CONCEPTS, L.L.C. |
Plan administrator’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2016-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-01 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
QUALITY RESTAURANT CONCEPTS, L.L.C. LIFE & DISABILITY INSURANCE PLAN
|
2014
|
581829996
|
2015-10-02
|
QUALITY RESTAURANT CONCEPTS, L.L.C.
|
277
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2000-07-01
|
Business code |
722511
|
Sponsor’s telephone number |
2058245060
|
Plan sponsor’s mailing address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan sponsor’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216
|
Plan administrator’s name and address
Administrator’s EIN |
581829996 |
Plan administrator’s name |
QUALITY RESTAURANT CONCEPTS, L.L.C. |
Plan administrator’s
address |
601 VESTAVIA PARKWAY, SUITE 1000, BIRMINGHAM, AL, 35216 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-09-15 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-15 |
Name of individual signing |
FRED GUSTIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|