PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2012
|
205914267
|
2013-11-05
|
PDM BRIDGE, LLC
|
109
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Signature of
Role |
Plan administrator |
Date |
2013-11-04 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-11-04 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2011
|
205914267
|
2012-07-17
|
PDM BRIDGE, LLC
|
108
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2012-07-17 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-17 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2010
|
205914267
|
2011-10-28
|
PDM BRIDGE, LLC
|
99
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2011-10-28 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-28 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2010
|
205914267
|
2011-10-28
|
PDM BRIDGE, LLC
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2011-10-28 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-28 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2010
|
205914267
|
2011-11-03
|
PDM BRIDGE, LLC
|
99
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2011-11-03 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-11-03 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2010
|
205914267
|
2011-04-04
|
PDM BRIDGE, LLC
|
99
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2011-04-04 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-04 |
Name of individual signing |
TAMMY EVANCHIK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PDM BRIDGE, LLC HOURLY EMPLOYEES RETIREMENT PLAN
|
2009
|
205914267
|
2010-06-04
|
PDM BRIDGE, LLC
|
92
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1978-07-01
|
Business code |
331200
|
Sponsor’s telephone number |
3863284683
|
Plan sponsor’s
address |
211 COMFORT RD, PALATKA, FL, 321778634
|
Plan administrator’s name and address
Administrator’s EIN |
205914267 |
Plan administrator’s name |
PDM BRIDGE, LLC |
Plan administrator’s
address |
211 COMFORT RD, PALATKA, FL, 321778634 |
Administrator’s telephone number |
3863284683 |
Signature of
Role |
Plan administrator |
Date |
2010-06-04 |
Name of individual signing |
GREGG MIZERK |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-06-04 |
Name of individual signing |
GREGG MIZERK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|