DENNIS R. BURGESS INSURANCE AGENCY INC. PROFIT SHARING PLAN
|
2015
|
592802926
|
2016-03-10
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Signature of
Role |
Plan administrator |
Date |
2016-03-10 |
Name of individual signing |
JOHN THOMSON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2014
|
592802926
|
2015-06-25
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Signature of
Role |
Plan administrator |
Date |
2015-06-25 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-06-25 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
592802926
|
2014-05-22
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-05-22 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
592802926
|
2013-07-15
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Signature of
Role |
Plan administrator |
Date |
2013-07-15 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-15 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
592802926
|
2012-05-14
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592802926 |
Plan administrator’s name |
DENNIS R. BURGESS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134 |
Administrator’s telephone number |
3054452441 |
Signature of
Role |
Plan administrator |
Date |
2012-05-14 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-14 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
592802926
|
2011-06-21
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592802926 |
Plan administrator’s name |
DENNIS R. BURGESS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134 |
Administrator’s telephone number |
3054452441 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-21 |
Name of individual signing |
DENNIS BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DENNIS R. BURGESS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
592802926
|
2010-07-23
|
DENNIS R. BURGESS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
3054452441
|
Plan sponsor’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134
|
Plan administrator’s name and address
Administrator’s EIN |
592802926 |
Plan administrator’s name |
DENNIS R. BURGESS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
6 PALERMO AVENUE, CORAL GABLES, FL, 33134 |
Administrator’s telephone number |
3054452441 |
Signature of
Role |
Plan administrator |
Date |
2010-07-23 |
Name of individual signing |
DENNIS R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-23 |
Name of individual signing |
DENNIS R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|