BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2010
|
900175285
|
2011-06-02
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2010
|
900175285
|
2011-12-13
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-12-13 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-13 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2010
|
900175285
|
2011-06-02
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2010
|
900175285
|
2011-06-02
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2010
|
900175285
|
2011-06-02
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
JAMES R. PRITCHETT |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BEACHES INSURANCE SERVICES, INC. 401K PLAN
|
2009
|
900175285
|
2011-06-02
|
BEACHES INSURANCE SERVICES, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9042701900
|
Plan sponsor’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266
|
Plan administrator’s name and address
Administrator’s EIN |
900175285 |
Plan administrator’s name |
BEACHES INSURANCE SERVICES, INC. |
Plan administrator’s
address |
SUITE A, 301 3RD ST., NEPTUNE BEACH, FL, 32266 |
Administrator’s telephone number |
9042701900 |
Signature of
Role |
Plan administrator |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-02 |
Name of individual signing |
JAMES PRITCHETT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|