JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2017
|
591945381
|
2019-02-12
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
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 |
2019-02-12 |
Name of individual signing |
ISA A. GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-02-12 |
Name of individual signing |
ISA A. GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2016
|
591945381
|
2018-02-27
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2018-02-27 |
Name of individual signing |
ISA A. GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2015
|
591945381
|
2017-02-03
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2017-02-03 |
Name of individual signing |
JOHN A. GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2014
|
591945381
|
2015-12-10
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2015-12-10 |
Name of individual signing |
JOHN A. GRAHAM |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
591945381
|
2015-01-14
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
591945381
|
2013-11-30
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2013-11-30 |
Name of individual signing |
REBECCA TORRES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
591945381
|
2012-11-28
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan administrator’s name and address
Administrator’s EIN |
591945381 |
Plan administrator’s name |
JOHN A. GRAHAM INSURANCE AGENCY, INC. |
Plan administrator’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305 |
Administrator’s telephone number |
9547353990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2012-11-28 |
Name of individual signing |
JANESIS DIAZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
591945381
|
2011-11-30
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan administrator’s name and address
Administrator’s EIN |
591945381 |
Plan administrator’s name |
JOHN A. GRAHAM INSURANCE AGENCY, INC. |
Plan administrator’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305 |
Administrator’s telephone number |
9547353990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2011-11-30 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
JOHN A. GRAHAM INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
591945381
|
2010-12-30
|
JOHN A. GRAHAM INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1979-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
9547353990
|
Plan sponsor’s mailing address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan sponsor’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305
|
Plan administrator’s name and address
Administrator’s EIN |
591945381 |
Plan administrator’s name |
JOHN A. GRAHAM INSURANCE AGENCY, INC. |
Plan administrator’s
address |
4259 W. COMMERCIAL BLVD., TAMARAC, FL, 333193305 |
Administrator’s telephone number |
9547353990 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
6 |
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 |
2010-12-30 |
Name of individual signing |
CAMERON KELLY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|