POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2014
|
650039057
|
2015-04-29
|
POLO INSURANCE AGENCY, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Signature of
Role |
Plan administrator |
Date |
2015-04-29 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2013
|
650039057
|
2014-10-06
|
POLO INSURANCE AGENCY, INC
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Signature of
Role |
Plan administrator |
Date |
2014-10-06 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2012
|
650039057
|
2013-06-19
|
POLO INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Signature of
Role |
Plan administrator |
Date |
2013-06-19 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2011
|
650039057
|
2012-09-06
|
POLO INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650039057 |
Plan administrator’s name |
POLO INSURANCE AGENCY, INC |
Plan administrator’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617985443 |
Signature of
Role |
Plan administrator |
Date |
2012-09-06 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2010
|
650039057
|
2011-10-13
|
POLO INSURANCE AGENCY, INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650039057 |
Plan administrator’s name |
POLO INSURANCE AGENCY, INC |
Plan administrator’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617985443 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2010
|
650039057
|
2011-10-13
|
POLO INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
650039057 |
Plan administrator’s name |
POLO INSURANCE AGENCY, INC |
Plan administrator’s
address |
12798 W. FOREST HILL BLVD., SUITE 205A, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617985443 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLO INSURANCE AGENCY, INC SIMPLE 401(K) PLAN
|
2009
|
650039057
|
2010-08-02
|
POLO INSURANCE AGENCY, INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-03-01
|
Business code |
524210
|
Sponsor’s telephone number |
5617985443
|
Plan sponsor’s
address |
12798 W. FOREST HILL BLVD 205A, WELLINGTON, FL, 334140000
|
Plan administrator’s name and address
Administrator’s EIN |
650039057 |
Plan administrator’s name |
POLO INSURANCE AGENCY, INC |
Plan administrator’s
address |
12798 W. FOREST HILL BLVD 205A, WELLINGTON, FL, 334140000 |
Administrator’s telephone number |
5617985443 |
Signature of
Role |
Plan administrator |
Date |
2010-08-02 |
Name of individual signing |
CAROL PIERON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|