|
INNOVATIVE INSURANCE, LLC 401(K) PLAN
|
2015
|
300196083
|
2016-07-29
|
INNOVATIVE INSURANCE, LLC
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
524150
|
| Sponsor’s telephone number |
9412442865
|
| Plan sponsor’s
address |
236 PEDRO STREET, VENICE, FL, 34285
|
Signature of
| Role |
Plan administrator |
| Date |
2016-07-29 |
| Name of individual signing |
MICHAEL HOLLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE, LLC 401(K) PLAN
|
2015
|
300196083
|
2016-06-13
|
INNOVATIVE INSURANCE, LLC
|
3
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
524150
|
| Sponsor’s telephone number |
9412442865
|
| Plan sponsor’s
address |
236 PEDRO STREET, VENICE, FL, 34285
|
Signature of
| Role |
Plan administrator |
| Date |
2016-06-13 |
| Name of individual signing |
MICHAEL HOLLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE, LLC 401(K) PLAN
|
2014
|
300196083
|
2015-07-08
|
INNOVATIVE INSURANCE, LLC
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
524150
|
| Sponsor’s telephone number |
9412442865
|
| Plan sponsor’s
address |
236 PEDRO STREET, VENICE, FL, 34285
|
Signature of
| Role |
Plan administrator |
| Date |
2015-07-08 |
| Name of individual signing |
MICHAEL HOLLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE, LLC 401(K) PLAN
|
2013
|
300196083
|
2014-07-29
|
INNOVATIVE INSURANCE, LLC
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
524150
|
| Sponsor’s telephone number |
9412442865
|
| Plan sponsor’s
address |
236 PEDRO STREET, VENICE, FL, 34285
|
Signature of
| Role |
Plan administrator |
| Date |
2014-07-29 |
| Name of individual signing |
MICHAEL HOLLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
INNOVATIVE INSURANCE, LLC 401(K) PLAN
|
2012
|
300196083
|
2013-06-11
|
INNOVATIVE INSURANCE, LLC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2012-01-01
|
| Business code |
524150
|
| Sponsor’s telephone number |
9412442865
|
| Plan sponsor’s
address |
236 PEDRO STREET, VENICE, FL, 34285
|
Signature of
| Role |
Plan administrator |
| Date |
2013-06-11 |
| Name of individual signing |
MICHAEL HOLLAND |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
