PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2014
|
200320480
|
2015-03-11
|
PETERS INSURANCE AGENCY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Signature of
Role |
Plan administrator |
Date |
2015-03-11 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-03-11 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2014
|
200320480
|
2015-09-30
|
PETERS INSURANCE AGENCY, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Signature of
Role |
Plan administrator |
Date |
2015-09-30 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-09-30 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2013
|
200320480
|
2014-09-15
|
PETERS INSURANCE AGENCY, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Signature of
Role |
Plan administrator |
Date |
2014-09-15 |
Name of individual signing |
JOHN G PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-15 |
Name of individual signing |
JOHN G PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2012
|
200320480
|
2013-07-23
|
PETERS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Signature of
Role |
Plan administrator |
Date |
2013-07-23 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-23 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2011
|
200320480
|
2012-06-26
|
PETERS INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Plan administrator’s name and address
Administrator’s EIN |
200320480 |
Plan administrator’s name |
PETERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446 |
Administrator’s telephone number |
5614962121 |
Signature of
Role |
Plan administrator |
Date |
2012-06-26 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-26 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2010
|
200320480
|
2011-07-08
|
PETERS INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Plan administrator’s name and address
Administrator’s EIN |
200320480 |
Plan administrator’s name |
PETERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446 |
Administrator’s telephone number |
5614962121 |
Signature of
Role |
Plan administrator |
Date |
2011-07-08 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-08 |
Name of individual signing |
JOHN PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PETERS INSURANCE AGENCY, INC. PROFIT SHARING PLAN
|
2009
|
200320480
|
2010-07-15
|
PETERS INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2000-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5614962121
|
Plan sponsor’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446
|
Plan administrator’s name and address
Administrator’s EIN |
200320480 |
Plan administrator’s name |
PETERS INSURANCE AGENCY, INC. |
Plan administrator’s
address |
7495 WEST ATLANTIC AVENUE, STE. 214, DELRAY BEACH, FL, 33446 |
Administrator’s telephone number |
5614962121 |
Signature of
Role |
Plan administrator |
Date |
2010-07-15 |
Name of individual signing |
JOHN G. PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-15 |
Name of individual signing |
JOHN G. PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|