ISLAND COAST AIDS NETWORK, INC. 403(B) RETIREMENT PLAN
|
2011
|
650147957
|
2012-07-11
|
ISLAND COAST AIDS NETWORK, INC.
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2393372391
|
Plan sponsor’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901
|
Plan administrator’s name and address
Administrator’s EIN |
650147957 |
Plan administrator’s name |
ISLAND COAST AIDS NETWORK, INC. |
Plan administrator’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901 |
Administrator’s telephone number |
2393372391 |
Signature of
Role |
Plan administrator |
Date |
2012-07-11 |
Name of individual signing |
CAROLYN L. MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-11 |
Name of individual signing |
CAROLYN L. MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST AIDS NETWORK, INC. 403(B) RETIREMENT PLAN
|
2010
|
650147957
|
2011-06-24
|
ISLAND COAST AIDS NETWORK, INC.
|
19
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2393372391
|
Plan sponsor’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901
|
Plan administrator’s name and address
Administrator’s EIN |
650147957 |
Plan administrator’s name |
ISLAND COAST AIDS NETWORK, INC. |
Plan administrator’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901 |
Administrator’s telephone number |
2393372391 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-24 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST AIDS NETWORK, INC. 403(B) RETIREMENT PLAN
|
2009
|
650147957
|
2011-06-24
|
ISLAND COAST AIDS NETWORK, INC.
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2393372391
|
Plan sponsor’s mailing address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901
|
Plan sponsor’s
address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901
|
Plan administrator’s name and address
Administrator’s EIN |
650147957 |
Plan administrator’s name |
ISLAND COAST AIDS NETWORK, INC. |
Plan administrator’s
address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901 |
Administrator’s telephone number |
2393372391 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-06-24 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST AIDS NETWORK, INC. 403(B) RETIREMENT PLAN
|
2009
|
650147957
|
2010-04-26
|
ISLAND COAST AIDS NETWORK, INC.
|
14
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2393372391
|
Plan sponsor’s mailing address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901
|
Plan sponsor’s
address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901
|
Plan administrator’s name and address
Administrator’s EIN |
650147957 |
Plan administrator’s name |
ISLAND COAST AIDS NETWORK, INC. |
Plan administrator’s
address |
2231 MCGREGOR BLVD, FORT MYERS, FL, 33901 |
Administrator’s telephone number |
2393372391 |
Number of participants as of the end of the plan year
Active participants |
6 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
8 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
14 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2010-04-26 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ISLAND COAST AIDS NETWORK, INC. 403(B) RETIREMENT PLAN
|
2009
|
650147957
|
2011-06-24
|
ISLAND COAST AIDS NETWORK, INC.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2001-07-01
|
Business code |
813000
|
Sponsor’s telephone number |
2393372391
|
Plan sponsor’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901
|
Plan administrator’s name and address
Administrator’s EIN |
650147957 |
Plan administrator’s name |
ISLAND COAST AIDS NETWORK, INC. |
Plan administrator’s
address |
2231 MCGREGOR BOULEVARD, FORT MYERS, FL, 33901 |
Administrator’s telephone number |
2393372391 |
Signature of
Role |
Plan administrator |
Date |
2011-06-24 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-24 |
Name of individual signing |
CAROLYN MOORE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|