PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2015
|
650029179
|
2016-10-12
|
PEDERSEN LATHING & PLASTERING, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
3986 S.W. RIVERS END WAY, STUART, FL, 34990
|
Signature of
Role |
Plan administrator |
Date |
2016-10-12 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-10-12 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2014
|
650029179
|
2015-10-15
|
PEDERSEN LATHING & PLASTERING, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
3986 S.W. RIVERS END WAY, STUART, FL, 34990
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-15 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2013
|
650029179
|
2014-10-09
|
PEDERSEN LATHING & PLASTERING, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 349834900
|
Signature of
Role |
Plan administrator |
Date |
2014-10-09 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-10-09 |
Name of individual signing |
KAREN PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2012
|
650029179
|
2013-10-15
|
PEDERSEN LATHING & PLASTERING, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 349834900
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-10-15 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2011
|
650029179
|
2012-10-04
|
PEDERSEN LATHING & PLASTERING, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983
|
Plan administrator’s name and address
Administrator’s EIN |
650029179 |
Plan administrator’s name |
PEDERSEN LATHING & PLASTERING, INC. |
Plan administrator’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983 |
Administrator’s telephone number |
7728793911 |
Signature of
Role |
Plan administrator |
Date |
2012-10-04 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-04 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2010
|
650029179
|
2011-10-03
|
PEDERSEN LATHING & PLASTERING, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238900
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983
|
Plan administrator’s name and address
Administrator’s EIN |
650029179 |
Plan administrator’s name |
PEDERSEN LATHING & PLASTERING, INC. |
Plan administrator’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983 |
Administrator’s telephone number |
7728793911 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-03 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
650029179
|
2010-09-29
|
PEDERSEN LATHING & PLASTERING, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983
|
Plan administrator’s name and address
Administrator’s EIN |
650029179 |
Plan administrator’s name |
PEDERSEN LATHING & PLASTERING, INC. |
Plan administrator’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983 |
Administrator’s telephone number |
7728793911 |
Signature of
Role |
Plan administrator |
Date |
2010-09-29 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-29 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEDERSEN LATHING & PLASTERING, INC. 401(K) PROFIT SHARING PLAN
|
2009
|
650029179
|
2010-09-27
|
PEDERSEN LATHING & PLASTERING, INC.
|
12
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
238100
|
Sponsor’s telephone number |
7728793911
|
Plan sponsor’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983
|
Plan administrator’s name and address
Administrator’s EIN |
650029179 |
Plan administrator’s name |
PEDERSEN LATHING & PLASTERING, INC. |
Plan administrator’s
address |
792 SW GROVE AVE, SUITE 106, PORT ST. LUCIE, FL, 34983 |
Administrator’s telephone number |
7728793911 |
Signature of
Role |
Plan administrator |
Date |
2010-09-27 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-09-27 |
Name of individual signing |
ROBERT PEDERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|