BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2020
|
050607753
|
2021-10-13
|
BRIAN C. HELGEMO, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9412058478
|
Plan sponsor’s mailing address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Plan sponsor’s
address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
3 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2021-10-13 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2019
|
050607753
|
2020-10-15
|
BRIAN C. HELGEMO, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9412058478
|
Plan sponsor’s mailing address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Plan sponsor’s
address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
7 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
7 |
Signature of
Role |
Plan administrator |
Date |
2020-10-15 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2018
|
050607753
|
2019-10-15
|
BRIAN C. HELGEMO, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9412058478
|
Plan sponsor’s mailing address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Plan sponsor’s
address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
1 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-10-15 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2017
|
050607753
|
2018-10-12
|
BRIAN C. HELGEMO, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9412058478
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
320 CROSS STREET, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
2 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-10-12 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2016
|
050607753
|
2018-01-26
|
BRIAN C. HELGEMO, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
1203 WEST MARION AVENUE, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
5 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
5 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-01-26 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2015
|
050607753
|
2016-10-03
|
BRIAN C. HELGEMO, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
1203 WEST MARION AVENUE, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
4 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
4 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-10-03 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2014
|
050607753
|
2015-10-14
|
BRIAN C. HELGEMO, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
1203 WEST MARION AVENUE, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2013
|
050607753
|
2014-10-15
|
BRIAN C. HELGEMO, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
1203 WEST MARION AVENUE, PUNTA GORDA, FL, 33950
|
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2012
|
050607753
|
2013-10-12
|
BRIAN C. HELGEMO, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
1203 WEST MARION AVENUE, PUNTA GORDA, FL, 33950
|
Plan administrator’s name and address
Administrator’s EIN |
050607753 |
Plan administrator’s name |
BRIAN C. HELGEMO, P.A. |
Plan administrator’s
address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013 |
Administrator’s telephone number |
9416376116 |
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-10-12 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BRIAN HELGEMO 401(K) PROFIT SHARING PLAN AND TRUST
|
2011
|
050607753
|
2012-10-14
|
BRIAN C. HELGEMO, P.A.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
531210
|
Sponsor’s telephone number |
9416376116
|
Plan sponsor’s mailing address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan sponsor’s
address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013
|
Plan administrator’s name and address
Administrator’s EIN |
050607753 |
Plan administrator’s name |
BRIAN C. HELGEMO, P.A. |
Plan administrator’s
address |
714 MACEDONIA DRIVE, PUNTA GORDA, FL, 339508013 |
Administrator’s telephone number |
9416376116 |
Number of participants as of the end of the plan year
Active participants |
3 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
3 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-10-14 |
Name of individual signing |
BONNIE HELGEMO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|