KK GREAT PIZZA 401(K) PLAN
|
2011
|
392028768
|
2012-07-30
|
KK GREAT PIZZA LLC
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
6513085572
|
Plan sponsor’s mailing address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan sponsor’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan administrator’s name and address
Administrator’s EIN |
392028768 |
Plan administrator’s name |
KK GREAT PIZZA LLC |
Plan administrator’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025 |
Administrator’s telephone number |
6513085572 |
Number of participants as of the end of the plan year
Active participants |
17 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
14 |
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 |
2012-07-30 |
Name of individual signing |
KEVIN KNOOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KK GREAT PIZZA 401(K) PLAN
|
2011
|
392028768
|
2012-08-02
|
KK GREAT PIZZA LLC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
6513085572
|
Plan sponsor’s mailing address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan sponsor’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan administrator’s name and address
Administrator’s EIN |
392028768 |
Plan administrator’s name |
KK GREAT PIZZA LLC |
Plan administrator’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025 |
Administrator’s telephone number |
6513085572 |
Number of participants as of the end of the plan year
Active participants |
17 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
14 |
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 |
2012-08-02 |
Name of individual signing |
KEVIN KNOOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KK GREAT PIZZA 401(K) PLAN
|
2010
|
392028768
|
2011-10-05
|
KK GREAT PIZZA LLC
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
6513085572
|
Plan sponsor’s mailing address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan sponsor’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan administrator’s name and address
Administrator’s EIN |
392028768 |
Plan administrator’s name |
KK GREAT PIZZA LLC |
Plan administrator’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025 |
Administrator’s telephone number |
6513085572 |
Number of participants as of the end of the plan year
Active participants |
12 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
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 |
13 |
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 |
2011-10-05 |
Name of individual signing |
KEVIN KNOOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KK GREAT PIZZA 401(K) PLAN
|
2009
|
392028768
|
2010-05-25
|
KK GREAT PIZZA LLC
|
15
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
6513085572
|
Plan sponsor’s mailing address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan sponsor’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan administrator’s name and address
Administrator’s EIN |
392028768 |
Plan administrator’s name |
KK GREAT PIZZA LLC |
Plan administrator’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025 |
Administrator’s telephone number |
6513085572 |
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
8 |
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 |
2010-05-25 |
Name of individual signing |
KEVIN KNOOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KK GREAT PIZZA 401(K) PLAN
|
2009
|
392028768
|
2010-07-22
|
KK GREAT PIZZA LLC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
722210
|
Sponsor’s telephone number |
6513085572
|
Plan sponsor’s mailing address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan sponsor’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025
|
Plan administrator’s name and address
Administrator’s EIN |
392028768 |
Plan administrator’s name |
KK GREAT PIZZA LLC |
Plan administrator’s
address |
23073 HENNA AVE. NORTH, FOREST LAKE, MN, 55025 |
Administrator’s telephone number |
6513085572 |
Number of participants as of the end of the plan year
Active participants |
15 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
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 |
8 |
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 |
2010-07-22 |
Name of individual signing |
KEVIN KNOOP |
Valid signature |
Filed with authorized/valid electronic signature |
|
|