HSI MANAGEMENT SERVICES, INC. 401(K) SALARY REDUCTION PLAN
|
2010
|
592387438
|
2011-10-12
|
GH MANAGEMENT, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587474
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587474 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-12 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSI MANAGEMENT SERVICES, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2012-03-26
|
GH MANAGEMENT, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587474
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587474 |
Signature of
Role |
Plan administrator |
Date |
2012-03-26 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-03-26 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BH MANAGEMENT, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2010-10-14
|
GH MANAGEMENT, INC.
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587488
|
Plan
sponsor’s DBA name |
DBA BH MANAGEMENT, INC.
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587488 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BH MANAGEMENT, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2010-10-05
|
GH MANAGEMENT, INC.
|
43
|
|
Three-digit plan number (PN) |
003
|
Effective date of plan |
1995-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587488
|
Plan
sponsor’s DBA name |
DBA BH MANAGEMENT, INC.
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587488 |
|
HSI MANAGEMENT SERVICES, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2010-09-07
|
GH MANAGEMENT INC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9042969333
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
MICHELLE JACOBSEN |
Plan administrator’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9042969333 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-09-07 |
Name of individual signing |
JENNIFER SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSI MANAGEMENT SERVICES, INC. 401(K) SALARY REDUCTION PLAN
|
2009
|
592387438
|
2010-09-13
|
GH MANAGEMENT, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587474
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587474 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
KAREN GALLAGHER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSI MANAGEMENT SERVICES, INC. 401(K) SALARY REDUCTION PLAN
|
2009
|
592387438
|
2010-09-13
|
GH MANAGEMENT, INC.
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587474
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587474 |
|
HSI MANAGEMENT SERVICES, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2010-09-13
|
GH MANAGEMENT INC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9042969333
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
MICHELLE JACOBSEN |
Plan administrator’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9042969333 |
Signature of
Role |
Plan administrator |
Date |
2010-09-13 |
Name of individual signing |
JENNIFERSMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSI MANAGEMENT SERVICES, INC. RETIREMENT PLAN
|
2009
|
592387438
|
2010-09-13
|
GH MANAGEMENT INC
|
10
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1986-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9042969333
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
MICHELLE JACOBSEN |
Plan administrator’s
address |
3599 UNIVERSITY BLVD SOUTH SUITE B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9042969333 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-09-07 |
Name of individual signing |
JENNIFER SMITH |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HSI MANAGEMENT SERVICES, INC. 401(K) SALARY REDUCTION PLAN
|
2009
|
592387438
|
2010-09-13
|
GH MANAGEMENT, INC.
|
12
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1988-05-01
|
Business code |
561110
|
Sponsor’s telephone number |
9048587474
|
Plan sponsor’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216
|
Plan administrator’s name and address
Administrator’s EIN |
592387438 |
Plan administrator’s name |
GH MANAGEMENT, INC. |
Plan administrator’s
address |
3599 UNIVERSITY BLVD. SOUTH, STE. B, JACKSONVILLE, FL, 32216 |
Administrator’s telephone number |
9048587474 |
|