CHARLA M BURCHETT PLC 401 (K) PROFIT SHARING PLAN & TRUST
|
2015
|
651143227
|
2017-11-20
|
CHARLA M BURCHETT PLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
1858 RINGLING BLVD STE 300, SARASOTA, FL, 342365917
|
Signature of
Role |
Plan administrator |
Date |
2017-11-20 |
Name of individual signing |
CHARLA BURCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-20 |
Name of individual signing |
CHARLA BURCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
651143227
|
2015-07-31
|
CHARLA M BURCHETT PLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
46 N WASHINGTON BLVD STE 1, SARASOTA, FL, 342365932
|
Signature of
Role |
Plan administrator |
Date |
2015-07-31 |
Name of individual signing |
CHARLA BURCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
651143227
|
2014-07-25
|
CHARLA M BURCHETT PLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE STE C, SARASOTA, FL, 342367739
|
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
CHARLA BURCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
651143227
|
2013-07-23
|
CHARLA M BURCHETT PLC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE STE C, SARASOTA, FL, 342367739
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
CHARLA M BURCHETT PLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
651143227
|
2012-08-02
|
CHARLA M BURCHETT PLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE STE C, SARASOTA, FL, 342367739
|
Plan administrator’s name and address
Administrator’s EIN |
651143227 |
Plan administrator’s name |
CHARLA M BURCHETT PLC |
Plan administrator’s
address |
766 HUDSON AVE STE C, SARASOTA, FL, 342367739 |
Administrator’s telephone number |
9419511866 |
Signature of
Role |
Plan administrator |
Date |
2012-08-02 |
Name of individual signing |
CHARLA M BURCHETT PLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
651143227
|
2011-07-25
|
CHARLA M BURCHETT PLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739
|
Plan administrator’s name and address
Administrator’s EIN |
651143227 |
Plan administrator’s name |
CHARLA M BURCHETT PLC |
Plan administrator’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739 |
Administrator’s telephone number |
9419511866 |
Signature of
Role |
Plan administrator |
Date |
2011-07-25 |
Name of individual signing |
CHARLA M BURCHETT PLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC
|
2009
|
651143227
|
2010-07-30
|
CHARLA M BURCHETT PLC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739
|
Plan administrator’s name and address
Administrator’s EIN |
651143227 |
Plan administrator’s name |
CHARLA M BURCHETT PLC |
Plan administrator’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739 |
Administrator’s telephone number |
9419511866 |
Signature of
Role |
Plan administrator |
Date |
2010-07-30 |
Name of individual signing |
CHARLA M BURCHETT PLC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
CHARLA M BURCHETT PLC
|
2009
|
651143227
|
2010-07-28
|
CHARLA M BURCHETT PLC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2003-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
9419511866
|
Plan sponsor’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739
|
Plan administrator’s name and address
Administrator’s EIN |
651143227 |
Plan administrator’s name |
CHARLA M BURCHETT PLC |
Plan administrator’s
address |
766 HUDSON AVE, SUITE C, SARASOTA, FL, 342367739 |
Administrator’s telephone number |
9419511866 |
Signature of
Role |
Plan administrator |
Date |
2010-07-28 |
Name of individual signing |
CHARLA M BURCHETT PLC |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|