|
GONZALEZ INS AGCY LLC 401(K) P/S PLAN
|
2020
|
454643668
|
2021-08-18
|
GONZALEZ INS AGCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8132867927
|
| Plan sponsor’s
address |
2700 N MACDILL AVE STE 109, TAMPA, FL, 33607
|
Plan administrator’s name and address
| Administrator’s EIN |
454643668 |
| Plan administrator’s name |
GONZALEZ INS AGCY LLC |
| Plan administrator’s
address |
2700 N MACDILL AVE STE 109, TAMPA, FL, 33607 |
| Administrator’s telephone number |
8132867927 |
Signature of
| Role |
Plan administrator |
| Date |
2021-08-18 |
| Name of individual signing |
RAFAEL GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
GONZALEZ INS AGCY LLC 401(K) P/S PLAN
|
2019
|
454643668
|
2020-04-23
|
GONZALEZ INS AGCY LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2019-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
8132867927
|
| Plan sponsor’s
address |
2700 N MACDILL AVE STE 109, TAMPA, FL, 33607
|
Plan administrator’s name and address
| Administrator’s EIN |
454643668 |
| Plan administrator’s name |
GONZALEZ INS AGCY LLC |
| Plan administrator’s
address |
2700 N MACDILL AVE STE 109, TAMPA, FL, 33607 |
| Administrator’s telephone number |
8132867927 |
Signature of
| Role |
Plan administrator |
| Date |
2020-04-23 |
| Name of individual signing |
RAFAEL GONZALEZ |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
