AMERILOSS CASH BALANCE PLAN
|
2012
|
141877192
|
2013-10-01
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2013-10-01 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS RETIREMENT PLAN
|
2012
|
141877192
|
2013-04-30
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2013-04-30 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS RETIREMENT PLAN
|
2012
|
141877192
|
2013-01-23
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2013-01-23 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS CASH BALANCE PLAN
|
2011
|
141877192
|
2012-06-27
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2012-06-27 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS RETIREMENT PLAN
|
2011
|
141877192
|
2012-06-29
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2012-06-29 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS CASH BALANCE PLAN
|
2010
|
141877192
|
2011-10-03
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS CASH BALANCE PLAN
|
2010
|
141877192
|
2011-10-03
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
7
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS RETIREMENT PLAN
|
2010
|
141877192
|
2011-10-03
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS RETIREMENT PLAN
|
2009
|
141877192
|
2011-10-03
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2011-10-03 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
AMERILOSS CASH BALANCE PLAN
|
2009
|
141877192
|
2010-10-11
|
AMERILOSS PUBLIC ADJUSTING CORP.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
3059934445
|
Plan sponsor’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324
|
Plan administrator’s name and address
Administrator’s EIN |
141877192 |
Plan administrator’s name |
AMERILOSS PUBLIC ADJUSTING CORP. |
Plan administrator’s
address |
8201 PETERS RD. SUITE 1000, PLANTATION, FL, 33324 |
Administrator’s telephone number |
3059934445 |
Signature of
Role |
Plan administrator |
Date |
2010-10-11 |
Name of individual signing |
TODD SHALACK |
Valid signature |
Filed with authorized/valid electronic signature |
|
|