COUNTRYSIDE LAKES, INC. 401(K) RETIREMENT PLAN
|
2016
|
592998168
|
2018-01-16
|
COUNTRYSIDE LAKES, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
Role |
Plan administrator |
Date |
2018-01-16 |
Name of individual signing |
STEVEN P. SHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401(K) RETIREMENT PLAN
|
2015
|
592998168
|
2016-10-13
|
COUNTRYSIDE LAKES, INC.
|
89
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Signature of
Role |
Plan administrator |
Date |
2016-10-13 |
Name of individual signing |
STEVEN P. SHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401 (K) RETIREMENT PLAN
|
2014
|
592998168
|
2015-10-14
|
COUNTRYSIDE LAKES, INC.
|
82
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
SETH HIXON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401 (K) RETIREMENT PLAN
|
2014
|
592998168
|
2018-02-05
|
COUNTRYSIDE LAKES, INC.
|
82
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2018-02-05 |
Name of individual signing |
STEVEN P. SHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401 (K) RETIREMENT PLAN
|
2013
|
592998168
|
2014-09-02
|
COUNTRYSIDE LAKES, INC.
|
74
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2014-09-02 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-02 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401 (K) RETIREMENT PLAN
|
2012
|
592998168
|
2013-05-20
|
COUNTRYSIDE LAKES, INC.
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2013-05-20 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401 (K) RETIREMENT PLAN
|
2011
|
592998168
|
2012-10-01
|
COUNTRYSIDE LAKES, INC.
|
78
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRAIL, PORT ORANGE, FL, 32127 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2012-10-01 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401(K) RETIREMENT PLAN
|
2010
|
592998168
|
2011-02-07
|
COUNTRYSIDE LAKES, INC.
|
64
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRL, PORT ORANGE, FL, 321279353
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRL, PORT ORANGE, FL, 321279353 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2011-02-07 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-07 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COUNTRYSIDE LAKES, INC. 401(K) RETIREMENT PLAN
|
2009
|
592998168
|
2010-09-01
|
COUNTRYSIDE LAKES, INC.
|
59
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-04-01
|
Business code |
623000
|
Sponsor’s telephone number |
3867563480
|
Plan sponsor’s
address |
941 VILLAGE TRL, PORT ORANGE, FL, 321279353
|
Plan administrator’s name and address
Administrator’s EIN |
592998168 |
Plan administrator’s name |
COUNTRYSIDE LAKES, INC. |
Plan administrator’s
address |
941 VILLAGE TRL, PORT ORANGE, FL, 321279353 |
Administrator’s telephone number |
3867563480 |
Signature of
Role |
Plan administrator |
Date |
2010-09-01 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-01 |
Name of individual signing |
STEVEN SCHRUNK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|