CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
591892513
|
2010-12-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-12-16 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
591892513
|
2011-01-12
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2011-01-12 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
591892513
|
2011-01-12
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-12 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2010
|
591892513
|
2010-12-20
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BLVD, ORLANDO, FL, 32804 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-12-20 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CLOSSON INSURANCE AGENCY, INC. PROFIT SHARING PLAN AND TRUST
|
2009
|
591892513
|
2010-03-17
|
CLOSSON INSURANCE AGENCY, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
004
|
Effective date of plan |
1999-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
4078982211
|
Plan sponsor’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32804
|
Plan administrator’s name and address
Administrator’s EIN |
591892513 |
Plan administrator’s name |
CLOSSON INSURANCE AGENCY, INC. |
Plan administrator’s
address |
221 NORTH IVANHOE BOULEVARD, ORLANDO, FL, 32803 |
Administrator’s telephone number |
4078982211 |
Signature of
Role |
Plan administrator |
Date |
2010-03-17 |
Name of individual signing |
RODNEY CLOSSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|