ERWIN INSURANCE AGENCY 401(K)
|
2018
|
203649654
|
2019-06-27
|
ERWIN INSURANCE AGENCY
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2019-06-27 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2017
|
203649654
|
2018-04-25
|
ERWIN INSURANCE AGENCY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2018-04-25 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2016
|
203649654
|
2017-08-01
|
ERWIN INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2017-08-01 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2015
|
203649654
|
2016-08-18
|
ERWIN INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2016-08-18 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2014
|
203649654
|
2015-10-14
|
ERWIN INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2013
|
203649654
|
2014-08-29
|
ERWIN INSURANCE AGENCY
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2014-08-29 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2012
|
203649654
|
2013-06-11
|
ERWIN INSURANCE AGENCY
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BLVD., JACKSONVILLE, FL, 32207
|
Signature of
Role |
Plan administrator |
Date |
2013-06-11 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2011
|
203649654
|
2012-10-22
|
ERWIN INSURANCE AGENCY
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207
|
Plan administrator’s name and address
Administrator’s EIN |
203649654 |
Plan administrator’s name |
ERWIN INSURANCE AGENCY |
Plan administrator’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207 |
Administrator’s telephone number |
9045148500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-22 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2011
|
203649654
|
2012-10-18
|
ERWIN INSURANCE AGENCY
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207
|
Plan administrator’s name and address
Administrator’s EIN |
203649654 |
Plan administrator’s name |
ERWIN INSURANCE AGENCY |
Plan administrator’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207 |
Administrator’s telephone number |
9045148500 |
Signature of
Role |
Plan administrator |
Date |
2012-10-18 |
Name of individual signing |
ROBERT ERWIN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ERWIN INSURANCE AGENCY 401(K)
|
2010
|
203649654
|
2011-09-23
|
ERWIN INSURANCE AGENCY
|
8
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9045148500
|
Plan sponsor’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207
|
Plan administrator’s name and address
Administrator’s EIN |
203649654 |
Plan administrator’s name |
ERWIN INSURANCE AGENCY |
Plan administrator’s
address |
5243 BEACH BOULEVARD, JACKSONVILLE, FL, 32207 |
Administrator’s telephone number |
9045148500 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-09-23 |
Name of individual signing |
ROBERT J. ERWIN JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|