CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2023
|
592430378
|
2024-06-19
|
CHAD GREEN INSURANCE INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2024-06-19 |
Name of individual signing |
ROBERT BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
592430378
|
2023-05-03
|
CHAD GREEN INSURANCE INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2023-05-03 |
Name of individual signing |
ROBERT JAMES BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
592430378
|
2022-05-18
|
CHAD GREEN INSURANCE INC
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2022-05-18 |
Name of individual signing |
ROBERT JAMES BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
592430378
|
2021-07-28
|
CHAD GREEN INSURANCE INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2021-07-28 |
Name of individual signing |
ROBERT BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
592430378
|
2020-05-05
|
CHAD GREEN INSURANCE INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2020-05-05 |
Name of individual signing |
ROBERT J BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
592430378
|
2019-06-12
|
CHAD GREEN INSURANCE INC
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2019-06-12 |
Name of individual signing |
ROBERT BRANDEBERRY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
592430378
|
2018-04-10
|
CHAD GREEN INSURANCE INC
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2013-01-11
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2018-04-10 |
Name of individual signing |
CHAD GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
592430378
|
2015-07-10
|
CHAD GREEN INSURANCE INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2015-07-10 |
Name of individual signing |
GAE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
592430378
|
2014-06-24
|
CHAD GREEN INSURANCE INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 33801
|
Signature of
Role |
Plan administrator |
Date |
2014-06-24 |
Name of individual signing |
ALLISON GAE KNIGHT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHAD GREEN INSURANCE INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
592430378
|
2013-06-18
|
CHAD GREEN INSURANCE INC
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2011-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
8636825195
|
Plan sponsor’s
address |
1617 E GARY RD, LAKELAND, FL, 338012231
|
Signature of
Role |
Plan administrator |
Date |
2013-06-18 |
Name of individual signing |
CHAD GREEN INSURANCE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|