|
CLOUD 9 BREWERY 401(K) PLAN
|
2021
|
454699092
|
2022-01-14
|
CLOUD NINE BREWERY, LLC
|
12
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
312120
|
| Sponsor’s telephone number |
2088911979
|
| Plan sponsor’s
address |
1750 W STATE ST, BOISE, ID, 837023923
|
Signature of
| Role |
Plan administrator |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLOUD 9 BREWERY 401(K) PLAN
|
2020
|
454699092
|
2022-01-14
|
CLOUD NINE BREWERY, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
312120
|
| Sponsor’s telephone number |
2088911979
|
| Plan sponsor’s
address |
1750 W. STATE ST, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLOUD 9 BREWERY 401(K) PLAN
|
2020
|
454699092
|
2022-01-14
|
CLOUD NINE BREWERY, LLC
|
12
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
312120
|
| Sponsor’s telephone number |
2088911979
|
| Plan sponsor’s
address |
1750 W. STATE ST, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2022-01-14 |
| Name of individual signing |
JACOB LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLOUD 9 BREWERY 401(K) PLAN
|
2018
|
454699092
|
2019-10-09
|
CLOUD NINE BREWERY, LLC
|
13
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
312120
|
| Sponsor’s telephone number |
2088911979
|
| Plan sponsor’s
address |
1750 W. STATE ST, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2019-10-09 |
| Name of individual signing |
MAGGIE LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CLOUD 9 BREWERY 401(K) PLAN
|
2015
|
454699092
|
2016-07-14
|
CLOUD NINE BREWERY, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2015-01-01
|
| Business code |
312120
|
| Sponsor’s telephone number |
2087940985
|
| Plan sponsor’s
address |
1750 W. STATE ST, BOISE, ID, 83702
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-14 |
| Name of individual signing |
MARGARET LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2016-07-14 |
| Name of individual signing |
MARGARET LAKE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
