|
BW AGENCY LLC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
261357179
|
2011-07-06
|
BW AGENCY LLC
|
9
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9543637405
|
| Plan sponsor’s
address |
DBA BRIGHTWAY INSURANCE, 4400 W HILLSBORO RD STE 5, COCONUT CREEK, FL, 330730000
|
Plan administrator’s name and address
| Administrator’s EIN |
261357179 |
| Plan administrator’s name |
BW AGENCY LLC |
| Plan administrator’s
address |
DBA BRIGHTWAY INSURANCE, 4400 W HILLSBORO RD STE 5, COCONUT CREEK, FL, 330730000 |
| Administrator’s telephone number |
9543637405 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-06 |
| Name of individual signing |
BW AGENCY LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BW AGENCY LLC
|
2009
|
261357179
|
2010-07-19
|
BW AGENCY LLC
|
1
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2009-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9543637405
|
| Plan sponsor’s
address |
DBA BRIGHTWAY INSURANCE, 4400 HILLSBORO RD STE 5, COCONUT CREEK, FL, 330730000
|
Plan administrator’s name and address
| Administrator’s EIN |
261357179 |
| Plan administrator’s name |
BW AGENCY LLC |
| Plan administrator’s
address |
DBA BRIGHTWAY INSURANCE, 4400 HILLSBORO RD STE 5, COCONUT CREEK, FL, 330730000 |
| Administrator’s telephone number |
9543637405 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-19 |
| Name of individual signing |
BW AGENCY LLC |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
