FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2015
|
203578167
|
2016-10-18
|
FORTIS SPECTRUM
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9046100357
|
Plan sponsor’s
address |
3787 PALM VALLEY ROAD SUITE 102-357, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2014
|
203578167
|
2017-04-07
|
FORTIS SPECTRUM
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9048342260
|
Plan sponsor’s
address |
3787 PALM VALLEY ROAD SUITE 102-357, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-17 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2014
|
203578167
|
2015-10-14
|
FORTIS SPECTRUM
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9048342260
|
Plan sponsor’s
address |
3787 PALM VALLEY ROAD SUITE 102-357, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2013
|
203578167
|
2014-10-15
|
FORTIS SPECTRUM
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9048342260
|
Plan sponsor’s
address |
5150 PALM VALLEY ROAD SUITE 200, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2012
|
203578167
|
2013-07-10
|
FORTIS SPECTRUM
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9048342260
|
Plan sponsor’s
address |
5150 PALM VALLEY ROAD SUITE 200, PONTE VEDRA BEACH, FL, 32082
|
Signature of
Role |
Plan administrator |
Date |
2013-07-10 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-10 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2011
|
203578167
|
2012-07-24
|
FORTIS SPECTRUM
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9042412433
|
Plan sponsor’s
address |
5150 PALM VALLEY ROAD SUITE 200, PONTE VEDRA BEACH, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
203578167 |
Plan administrator’s name |
FORTIS SPECTRUM |
Plan administrator’s
address |
5150 PALM VALLEY ROAD SUITE 200, PONTE VEDRA BEACH, FL, 32082 |
Administrator’s telephone number |
9042412433 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN & TRUST
|
2010
|
203578167
|
2011-07-27
|
FORTIS SPECTRUM
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9042412433
|
Plan sponsor’s
address |
484 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
Administrator’s EIN |
203578167 |
Plan administrator’s name |
FORTIS SPECTRUM |
Plan administrator’s
address |
484 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250 |
Administrator’s telephone number |
9042412433 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORTIS SPECTRUM RETIREMENT PLAN TRUST
|
2009
|
203578167
|
2010-07-14
|
FORTIS SPECTRUM
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
812990
|
Sponsor’s telephone number |
9042412433
|
Plan sponsor’s
address |
484 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
Administrator’s EIN |
203578167 |
Plan administrator’s name |
FORTIS SPECTRUM |
Plan administrator’s
address |
484 JACKSONVILLE DRIVE, JACKSONVILLE BEACH, FL, 32250 |
Administrator’s telephone number |
9042412433 |
Signature of
Role |
Plan administrator |
Date |
2010-07-14 |
Name of individual signing |
AMY NOVAK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|