PATRIOT BANK
|
2013
|
200830384
|
2014-11-25
|
PATRIOT BANK
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2014-11-25 |
Name of individual signing |
THOMAS WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-11-25 |
Name of individual signing |
THOMAS WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT BANK
|
2013
|
200830384
|
2014-09-19
|
PATRIOT BANK
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2014-09-19 |
Name of individual signing |
THOMAS J. WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT BANK
|
2012
|
200830384
|
2013-06-03
|
PATRIOT BANK
|
32
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
THOMAS J. WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-03 |
Name of individual signing |
THOMAS J. WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT BANK
|
2012
|
200830384
|
2013-06-03
|
PATRIOT BANK
|
32
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Signature of
Role |
Plan administrator |
Date |
2013-06-03 |
Name of individual signing |
THOMAS J. WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-06-03 |
Name of individual signing |
THOMAS J. WOKURKA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT BANK
|
2011
|
200830384
|
2012-06-22
|
PATRIOT BANK
|
33
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Plan administrator’s name and address
Administrator’s EIN |
200830384 |
Plan administrator’s name |
PATRIOT BANK |
Plan administrator’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655 |
Administrator’s telephone number |
7273761776 |
Signature of
Role |
Plan administrator |
Date |
2012-06-22 |
Name of individual signing |
CATHLEEN J. FITZGERALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PATRIOT BANK
|
2010
|
200830384
|
2011-06-07
|
PATRIOT BANK
|
0
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Plan administrator’s name and address
Administrator’s EIN |
200830384 |
Plan administrator’s name |
PATRIOT BANK |
Plan administrator’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655 |
Administrator’s telephone number |
7273761776 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
CATHLEEN J. FITZGERALD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
CATHLEEN J. FITZGERALD |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PATRIOT BANK
|
2010
|
200830384
|
2011-06-07
|
PATRIOT BANK
|
0
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-05-01
|
Business code |
522110
|
Sponsor’s telephone number |
7273761776
|
Plan sponsor’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655
|
Plan administrator’s name and address
Administrator’s EIN |
200830384 |
Plan administrator’s name |
PATRIOT BANK |
Plan administrator’s
address |
1815 LITTLE ROAD, TRINITY, FL, 34655 |
Administrator’s telephone number |
7273761776 |
Signature of
Role |
Plan administrator |
Date |
2011-06-07 |
Name of individual signing |
CATHLEEN J. FITZGERALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-07 |
Name of individual signing |
CATHLEEN J. FITZGERALD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|