GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2023
|
593629211
|
2024-06-03
|
GODREJ PROFILE SCREENING
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Sponsor’s telephone number |
1813788066
|
Plan sponsor’s
address |
PO BOX 1465, ZEPHYRHILLS, FL, 33539
|
Signature of
Role |
Plan administrator |
Date |
2024-06-03 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-06-03 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2022
|
593629211
|
2023-05-23
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2023-05-23 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2021
|
593629211
|
2022-05-19
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2022-05-19 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2020
|
593629211
|
2021-03-01
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2021-03-01 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2019
|
593629211
|
2020-02-11
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2020-02-11 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2018
|
593629211
|
2019-02-04
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2019-02-04 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2017
|
593629211
|
2018-11-08
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2018-11-08 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2016
|
593629211
|
2018-11-01
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2018-11-01 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
GODREJ PROFILE SCREENING 401(K) P/S PLAN
|
2015
|
593629211
|
2018-10-29
|
GODREJ PROFILE SCREENING
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
561600
|
Plan sponsor’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539
|
Plan administrator’s name and address
Administrator’s EIN |
593629211 |
Plan administrator’s name |
GODREJ PROFILE SCREENING |
Plan administrator’s
address |
P.O. BOX 1465, ZEPHYRHILLS, FL, 33539 |
Signature of
Role |
Plan administrator |
Date |
2018-10-29 |
Name of individual signing |
ANDREW GOMEZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
|