PREMIER TECHNOLOGY, INC. CAF PLAN
|
2019
|
820495019
|
2020-10-15
|
PREMIER TECHNOLOGY, INC.
|
213
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE RD, BLACKFOOT, ID, 832215115
|
Plan sponsor’s
address |
1858 W BRIDGE RD, BLACKFOOT, ID, 832215115
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC. |
Plan administrator’s
address |
1858 W BRIDGE RD, BLACKFOOT, ID, 832215115 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Active participants |
211 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC. CAFETERIA PLAN
|
2016
|
820495019
|
2017-07-20
|
PREMIER TECHNOLOGY, INC.
|
191
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE RD, BLACKFOOT, ID, 832215115
|
Plan sponsor’s
address |
1858 W BRIDGE RD, BLACKFOOT, ID, 832215115
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2017-07-20 |
Name of individual signing |
SHELLY SAYER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC. WELFARE BENEFITS PLAN
|
2014
|
820495019
|
2015-06-05
|
PREMIER TECHNOLOGY, INC.
|
184
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 WEST BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 WEST BRIDGE STREET, BLACKFOOT, ID, 83221
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2015-06-05 |
Name of individual signing |
ASHLEIGH SAYER-FREDERICK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC WELFARE BENEFITS PLAN
|
2013
|
820495019
|
2014-05-27
|
PREMIER TECHNOLOGY, INC
|
513
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
2087859115
|
Plan sponsor’s mailing address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Signature of
Role |
Plan administrator |
Date |
2014-05-27 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-27 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC HRA PLAN
|
2012
|
820495019
|
2013-06-27
|
PREMIER TECHNOLOGY, INC
|
225
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2009-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-06-27 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-27 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC WELFARE BENEFITS PLAN
|
2012
|
820495019
|
2013-05-21
|
PREMIER TECHNOLOGY, INC
|
198
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2010-01-01
|
Business code |
332900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-05-20 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-05-20 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC HRA PLAN
|
2011
|
820495019
|
2012-07-16
|
PREMIER TECHNOLOGY, INC
|
240
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC CAFETERIA PLAN
|
2011
|
820495019
|
2012-07-16
|
PREMIER TECHNOLOGY, INC
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-07-16 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-16 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PREMIER TECHNOLOGY, INC HRA PLAN
|
2010
|
820495019
|
2011-08-08
|
PREMIER TECHNOLOGY, INC
|
227
|
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
2010-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1868 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-07-21 |
Name of individual signing |
SHELLY SAYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-21 |
Name of individual signing |
SHELLY SAYER |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PREMIER TECHNOLOGY, INC CAFETERIA PLAN
|
2010
|
820495019
|
2011-08-09
|
PREMIER TECHNOLOGY, INC
|
299
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
2009-01-01
|
Business code |
339900
|
Sponsor’s telephone number |
2087852274
|
Plan sponsor’s mailing address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan sponsor’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221
|
Plan administrator’s name and address
Administrator’s EIN |
820495019 |
Plan administrator’s name |
PREMIER TECHNOLOGY, INC |
Plan administrator’s
address |
1858 W BRIDGE STREET, BLACKFOOT, ID, 83221 |
Administrator’s telephone number |
2087852274 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-08-09 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-09 |
Name of individual signing |
NICOLE SIMPSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|