FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2017
|
650191576
|
2018-03-15
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2016
|
650191576
|
2017-03-27
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2015
|
650191576
|
2016-06-20
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 334104400
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2014
|
650191576
|
2015-06-29
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2013
|
650191576
|
2014-06-24
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2012
|
650191576
|
2013-04-25
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
Signature of
Role |
Plan administrator |
Date |
2013-04-25 |
Name of individual signing |
BARBARA PITALUGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2011
|
650191576
|
2012-07-11
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
Administrator’s EIN |
650191576 |
Plan administrator’s name |
FORREST D. HAYES, P.A. |
Plan administrator’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410 |
Administrator’s telephone number |
5616275163 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
BARBARA PITALUGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2010
|
650191576
|
2011-06-24
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
Administrator’s EIN |
650191576 |
Plan administrator’s name |
FORREST D. HAYES, P.A. |
Plan administrator’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410 |
Administrator’s telephone number |
5616275163 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
BARBARA PITALUGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2010
|
650191576
|
2011-06-24
|
FORREST D. HAYES, P.A.
|
3
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
Administrator’s EIN |
650191576 |
Plan administrator’s name |
FORREST D. HAYES, P.A. |
Plan administrator’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410 |
Administrator’s telephone number |
5616275163 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
BARBARA PITALUGA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORREST D. HAYES, P.A. RETIREMENT PLAN AND TRUST
|
2009
|
650191576
|
2010-06-17
|
FORREST D. HAYES, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
621399
|
Sponsor’s telephone number |
5616275163
|
Plan sponsor’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410
|
Plan administrator’s name and address
Administrator’s EIN |
650191576 |
Plan administrator’s name |
FORREST D. HAYES, P.A. |
Plan administrator’s
address |
2625 NATURES WAY, PALM BEACH GARDENS, FL, 33410 |
Administrator’s telephone number |
5616275163 |
Signature of
Role |
Plan administrator |
Date |
2010-06-17 |
Name of individual signing |
FORREST DANIEL HAYES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|