BAXTER RESTORATION 401(K) PROFIT SHARING PLAN AND TRUST
|
2021
|
275002706
|
2022-05-25
|
BAXTER RESTORATION, LLC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
236200
|
Sponsor’s telephone number |
8476512681
|
Plan sponsor’s
address |
1106 W CENTRAL BLVD, ORLANDO, FL, 32805
|
Signature of
Role |
Plan administrator |
Date |
2022-05-25 |
Name of individual signing |
ALEXANDER HABEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-05-25 |
Name of individual signing |
TOM DUBNICKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION 401K PROFIT SHARING PLAN AND TRUST
|
2020
|
275002706
|
2021-07-15
|
BAXTER RESTORATION
|
41
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
1106 W CENTRAL BLVD, ORLANDO, FL, 32805
|
Signature of
Role |
Plan administrator |
Date |
2021-07-15 |
Name of individual signing |
KIM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION 401K PROFIT SHARING PLAN AND TRUST
|
2019
|
275002706
|
2020-07-16
|
BAXTER RESTORATION
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
1106 W CENTRAL BLVD, ORLANDO, FL, 32805
|
Signature of
Role |
Plan administrator |
Date |
2020-07-16 |
Name of individual signing |
KIM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION 401K PROFIT SHARING PLAN AND TRUST
|
2018
|
275002706
|
2019-08-23
|
BAXTER RESTORATION
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
1106 W CENTRAL BLVD, ORLANDO, FL, 32805
|
Signature of
Role |
Plan administrator |
Date |
2019-08-23 |
Name of individual signing |
KIM BAXTER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION LLC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
275002706
|
2018-06-13
|
BAXTER RESTORATION LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
PO BOX 1165, DEERFIELD BEACH, FL, 334431165
|
Signature of
Role |
Plan administrator |
Date |
2018-06-13 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION LLC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
275002706
|
2017-06-28
|
BAXTER RESTORATION LLC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
PO BOX 1165, DEERFIELD BEACH, FL, 334431165
|
Signature of
Role |
Plan administrator |
Date |
2017-06-28 |
Name of individual signing |
EDWARD ROJAS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BAXTER RESTORATION LLC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
275002706
|
2016-07-29
|
BAXTER RESTORATION LLC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2014-01-01
|
Business code |
531390
|
Sponsor’s telephone number |
4074235553
|
Plan sponsor’s
address |
1106 WEST CENTRAL BLVD, ORLANDO, FL, 328051165
|
Signature of
Role |
Plan administrator |
Date |
2016-07-29 |
Name of individual signing |
BAXTER RESTORATION |
Valid signature |
Filed with authorized/valid electronic signature |
|
|