| Plan Name | BLACK ROSE HOLDINGS 401(K) PLAN |
| Plan identification number | 001 |
| 401k Plan Type | Defined Contribution Pension |
| Plan Features/Benefits |
|
| Company Name: | BLACK ROSE HOLDINGS INC |
| Employer identification number (EIN): | 473454993 |
| NAIC Classification: | 551112 |
| NAIC Description: | Offices of Other Holding Companies |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 001 | 2015-04-01 | SEAN ADAMS | 2016-07-14 |