HISI, INC. 401(K) PLAN
|
2023
|
030507857
|
2024-06-27
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
PO BOX 1669, RIVERVIEW, FL, 33568
|
Signature of
Role |
Plan administrator |
Date |
2024-06-27 |
Name of individual signing |
SANDRA HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2022
|
030507857
|
2023-09-29
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
9414 OAK ST., RIVERVIEW, FL, 335784876
|
Signature of
Role |
Plan administrator |
Date |
2023-09-29 |
Name of individual signing |
SANDRA HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2021
|
030507857
|
2022-10-07
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
9414 OAK ST., RIVERVIEW, FL, 335784876
|
Signature of
Role |
Plan administrator |
Date |
2022-10-07 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2020
|
030507857
|
2021-09-26
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
9414 OAK ST., RIVERVIEW, FL, 335784876
|
|
HISI, INC. 401(K) PLAN
|
2019
|
030507857
|
2020-09-16
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
5920 CIRCA FISHHAWK BLVD, LITHIA, FL, 335474137
|
Signature of
Role |
Plan administrator |
Date |
2020-09-16 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2018
|
030507857
|
2019-10-12
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
5920 CIRCA FISHHAWK BLVD, LITHIA, FL, 335474137
|
Signature of
Role |
Plan administrator |
Date |
2019-10-12 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2017
|
030507857
|
2018-08-14
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854
|
Signature of
Role |
Plan administrator |
Date |
2018-08-14 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2016
|
030507857
|
2017-10-12
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854
|
Signature of
Role |
Plan administrator |
Date |
2017-10-12 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2015
|
030507857
|
2016-08-25
|
HISI, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854
|
Signature of
Role |
Plan administrator |
Date |
2016-08-25 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
HISI, INC. 401(K) PLAN
|
2014
|
030507857
|
2015-10-05
|
HISI, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2005-07-01
|
Business code |
524290
|
Sponsor’s telephone number |
9416612333
|
Plan sponsor’s
address |
16125 BRIDGEPARK DRIVE, LITHIA, FL, 335474854
|
Signature of
Role |
Plan administrator |
Date |
2015-10-05 |
Name of individual signing |
SANDRA M. HISEY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|