|
HARVEY L. BROWN AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
591311777
|
2010-10-25
|
HARVEY L. BROWN AGENCY, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-08-30
|
| Business code |
524210
|
| Sponsor’s telephone number |
5612760369
|
| Plan sponsor’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
| Administrator’s EIN |
591311777 |
| Plan administrator’s name |
HARVEY L. BROWN AGENCY, INC. |
| Plan administrator’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483 |
| Administrator’s telephone number |
5612760369 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-25 |
| Name of individual signing |
HARVEY L. BROWN JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARVEY L. BROWN AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
591311777
|
2010-09-14
|
HARVEY L. BROWN AGENCY, INC.
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-08-30
|
| Business code |
524210
|
| Sponsor’s telephone number |
5612760369
|
| Plan sponsor’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
| Administrator’s EIN |
591311777 |
| Plan administrator’s name |
HARVEY L. BROWN AGENCY, INC. |
| Plan administrator’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483 |
| Administrator’s telephone number |
5612760369 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-14 |
| Name of individual signing |
HARVEY L. BROWN JR. |
| Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
|
HARVEY L. BROWN AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
591311777
|
2010-09-14
|
HARVEY L. BROWN AGENCY, INC.
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-08-30
|
| Business code |
524210
|
| Sponsor’s telephone number |
5612760369
|
| Plan sponsor’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
| Administrator’s EIN |
591311777 |
| Plan administrator’s name |
HARVEY L. BROWN AGENCY, INC. |
| Plan administrator’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483 |
| Administrator’s telephone number |
5612760369 |
Signature of
| Role |
Plan administrator |
| Date |
2010-09-14 |
| Name of individual signing |
HARVEY L. BROWN JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
HARVEY L. BROWN AGENCY, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
591311777
|
2010-08-19
|
HARVEY L. BROWN AGENCY, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-08-30
|
| Business code |
524210
|
| Sponsor’s telephone number |
5612760369
|
| Plan sponsor’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483
|
Plan administrator’s name and address
| Administrator’s EIN |
591311777 |
| Plan administrator’s name |
HARVEY L. BROWN AGENCY, INC. |
| Plan administrator’s
address |
64 NE 5TH AVENUE, DELRAY BEACH, FL, 33483 |
| Administrator’s telephone number |
5612760369 |
Signature of
| Role |
Plan administrator |
| Date |
2010-08-19 |
| Name of individual signing |
HARVEY L. BROWN JR. |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
