|
LAB INSURANCE INC 401K PLAN
|
2012
|
203059742
|
2013-07-22
|
LAB INSURANCE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-11-21
|
| Business code |
524210
|
| Sponsor’s telephone number |
5614141979
|
| Plan sponsor’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839
|
Signature of
| Role |
Plan administrator |
| Date |
2013-07-22 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2013-07-22 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAB INSURANCE INC 401K PLAN
|
2011
|
203059742
|
2012-07-23
|
LAB INSURANCE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-11-21
|
| Business code |
524210
|
| Sponsor’s telephone number |
5614141979
|
| Plan sponsor’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839
|
Plan administrator’s name and address
| Administrator’s EIN |
203059742 |
| Plan administrator’s name |
LAB INSURANCE INC |
| Plan administrator’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839 |
| Administrator’s telephone number |
5614141979 |
Signature of
| Role |
Plan administrator |
| Date |
2012-07-23 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-07-23 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAB INSURANCE INC 401K PLAN
|
2010
|
203059742
|
2011-07-29
|
LAB INSURANCE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-11-21
|
| Business code |
524210
|
| Sponsor’s telephone number |
5614141979
|
| Plan sponsor’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839
|
Plan administrator’s name and address
| Administrator’s EIN |
203059742 |
| Plan administrator’s name |
LAB INSURANCE INC |
| Plan administrator’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839 |
| Administrator’s telephone number |
5614141979 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-29 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-29 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
LAB INSURANCE INC 401K PLAN
|
2009
|
203059742
|
2010-07-30
|
LAB INSURANCE INC
|
2
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2005-11-21
|
| Business code |
524210
|
| Sponsor’s telephone number |
5614141979
|
| Plan sponsor’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839
|
Plan administrator’s name and address
| Administrator’s EIN |
203059742 |
| Plan administrator’s name |
LAB INSURANCE INC |
| Plan administrator’s
address |
8357 EMERALD WINDS CIR, BOYNTON BEACH, FL, 334737839 |
| Administrator’s telephone number |
5614141979 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-30 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-07-30 |
| Name of individual signing |
LAURENCE WIDES |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
