| Plan Name | PEACE COFFEE RETIREMENT TRUST |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | HEADWATERS INTERNATIONAL, DBA PEACE COFFEE |
| Employer identification number (EIN): | 411827780 |
| NAIC Classification: | 445299 |
| NAIC Description: | All Other Specialty Food Stores |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2017-01-01 | ||||
| 001 | 2016-01-01 | ||||
| 001 | 2015-01-01 | MARK RIELAND | 2016-07-13 | ||
| 001 | 2014-01-01 | MARK RIELAND | 2015-10-07 | MARK RIELAND | 2015-10-07 |
| 001 | 2013-01-01 | MARK RIELAND | 2014-10-15 | MARK RIELAND | 2014-10-15 |
| 001 | 2012-01-01 | JOE MOSKOWITZ | 2013-07-08 | JOE MOSKOWITZ | 2013-07-08 |