|
DAVIS MARINE INSURANCE AGENCY RETIREMENT PLAN - MONEY PURCHASE
|
2010
|
591057532
|
2011-10-04
|
ROBERT E. DAVIS
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052551700
|
| Plan
sponsor’s DBA name |
DAVIS MARINE INSURANCE AGENCY
|
| Plan sponsor’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 330, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591057532 |
| Plan administrator’s name |
ROBERT E. DAVIS |
| Plan administrator’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 330, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052551700 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-04 |
| Name of individual signing |
ROBERT DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DAVIS MARINE INSURANCE AGENCY RETIREMENT PLAN - MONEY PURCHASE
|
2010
|
591057532
|
2011-10-04
|
ROBERT E. DAVIS
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052551700
|
| Plan
sponsor’s DBA name |
DAVIS MARINE INSURANCE AGENCY
|
| Plan sponsor’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 330, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591057532 |
| Plan administrator’s name |
ROBERT E. DAVIS |
| Plan administrator’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 330, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052551700 |
Signature of
| Role |
Employer/plan sponsor |
| Date |
2011-10-04 |
| Name of individual signing |
ROBERT DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
DAVIS MARINE INSURANCE AGENCY RETIREMENT PLAN MONEY PURCHASE
|
2009
|
591057532
|
2010-07-29
|
ROBERT E. DAVIS
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
1972-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3052551700
|
| Plan
sponsor’s DBA name |
DAVIS MARINE INSURANCE AGENCY
|
| Plan sponsor’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 200, MIAMI, FL, 33156
|
Plan administrator’s name and address
| Administrator’s EIN |
591057532 |
| Plan administrator’s name |
ROBERT E. DAVIS |
| Plan administrator’s
address |
12651 SOUTH DIXIE HIGHWAY, SUITE 200, MIAMI, FL, 33156 |
| Administrator’s telephone number |
3052551700 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-29 |
| Name of individual signing |
ROBERT DAVIS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
