| File |
View Page
|
| Three-digit plan number (PN) |
002
|
| Effective date of plan |
1994-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3864413438
|
| Plan sponsor’s
address |
47 STANDISH DRIVE, ORMOND BEACH, FL, 32176
|
Plan administrator’s name and address
| Administrator’s EIN |
590938361 |
| Plan administrator’s name |
DONNA M. MURPHY |
| Plan administrator’s
address |
47 STANDISH DRIVE, ORMOND BEACH, FL, 32176 |
| Administrator’s telephone number |
3864413438 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-07 |
| Name of individual signing |
DONNA M. MURPHY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-10-07 |
| Name of individual signing |
DONNA M. MURPHY |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
