|
SPECIALTY LINES UNDERWRITERS 401K PLAN
|
2023
|
843113409
|
2024-08-13
|
SPECIALTY LINES UNDERWRITERS
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9549808965
|
| Plan sponsor’s
address |
3825 HERON RIDGE LN, WESTON, FL, 33331
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2024-08-13 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPECIALTY LINES UNDERWRITERS 401K PLAN
|
2022
|
843113409
|
2023-07-31
|
SPECIALTY LINES UNDERWRITERS
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9549808965
|
| Plan sponsor’s
address |
3825 HERON RIDGE LN, WESTON, FL, 33331
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2023-07-31 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPECIALTY LINES UNDERWRITERS 401K PLAN
|
2021
|
843113409
|
2022-07-29
|
SPECIALTY LINES UNDERWRITERS
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9549808965
|
| Plan sponsor’s
address |
3825 HERON RIDGE LN, WESTON, FL, 33331
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES, LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2022-07-29 |
| Name of individual signing |
TARA EVANS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
SPECIALTY LINES UNDERWRITERS 401K PLAN
|
2020
|
843113409
|
2021-09-13
|
SPECIALTY LINES UNDERWRITERS
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2020-10-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
9549808965
|
| Plan sponsor’s
address |
1395 BRICKELL AVE, SUITE 800, MIAMI, FL, 33131
|
Plan administrator’s name and address
| Administrator’s EIN |
621874769 |
| Plan administrator’s name |
TAG RESOURCES LLC |
| Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
| Administrator’s telephone number |
8656701844 |
Signature of
| Role |
Plan administrator |
| Date |
2021-09-13 |
| Name of individual signing |
PILAR GRANADOS |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
