H. SMITH, INC. PROFIT SHARING PLAN & TRUST
|
2012
|
561662806
|
2013-04-24
|
H. SMITH, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2013-04-24 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2011
|
591662806
|
2012-09-07
|
H. SMITH, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
591662806
|
2012-09-07
|
H. SMITH, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2012-09-07 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591662806
|
2010-03-17
|
H. SMITH, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-17 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591662806
|
2010-03-15
|
H. SMITH, INC.
|
7
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591662806
|
2010-03-15
|
H. SMITH, INC.
|
7
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
H. SMITH, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591662806
|
2010-03-15
|
H. SMITH, INC.
|
7
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1989-01-01
|
Business code |
237210
|
Sponsor’s telephone number |
9042689990
|
Plan sponsor’s mailing address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan sponsor’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257
|
Plan administrator’s name and address
Administrator’s EIN |
591662806 |
Plan administrator’s name |
H. SMITH, INC. |
Plan administrator’s
address |
ONE SAN JOSE PLACE, SUITE 7, JACKSONVILLE, FL, 32257 |
Administrator’s telephone number |
9042689990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-03-15 |
Name of individual signing |
V. HAWLEY SMITH JR. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|