|
CONTRACTORS AND EMPLOYEES RETIREMENT PLAN & TRUST
|
2011
|
421696322
|
2012-08-07
|
CLERMONT TRIAD, INC.
|
5
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
3524325088
|
| Plan sponsor’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711
|
Plan administrator’s name and address
| Administrator’s EIN |
421696322 |
| Plan administrator’s name |
CLERMONT TRIAD, INC. |
| Plan administrator’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711 |
| Administrator’s telephone number |
3524325088 |
Signature of
| Role |
Plan administrator |
| Date |
2012-08-07 |
| Name of individual signing |
MONIKA WHITE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONTRACTORS AND EMPLOYEES RETIREMENT PLAN & TRUST
|
2010
|
421696322
|
2011-07-20
|
CLERMONT TRIAD, INC
|
6
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
3524325088
|
| Plan sponsor’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711
|
Plan administrator’s name and address
| Administrator’s EIN |
421696322 |
| Plan administrator’s name |
CLERMONT TRIAD, INC |
| Plan administrator’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711 |
| Administrator’s telephone number |
3524325088 |
|
|
CONTRACTORS AND EMPLOYEES RETIREMENT PLAN & TRUST
|
2010
|
421696322
|
2011-07-22
|
CLERMONT TRIAD, INC
|
6
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
3524325088
|
| Plan sponsor’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711
|
Plan administrator’s name and address
| Administrator’s EIN |
421696322 |
| Plan administrator’s name |
CLERMONT TRIAD, INC |
| Plan administrator’s
address |
3728 FALLSCREST CIRCLE, CLERMONT, FL, 34711 |
| Administrator’s telephone number |
3524325088 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-22 |
| Name of individual signing |
MONIKA WHITE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
CONTRACTORS AND EMPLOYEES RETIREMENT PLAN & TRUST
|
2009
|
421696322
|
2010-10-08
|
CLERMONT TRIAD, INC
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2007-08-01
|
| Business code |
238900
|
| Sponsor’s telephone number |
3522414517
|
| Plan sponsor’s
address |
15701 STATE RD 50, STE 203, CLERMONT, FL, 34711
|
Plan administrator’s name and address
| Administrator’s EIN |
421696322 |
| Plan administrator’s name |
CLERMONT TRIAD, INC |
| Plan administrator’s
address |
15701 STATE RD 50, STE 203, CLERMONT, FL, 34711 |
| Administrator’s telephone number |
3522414517 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-08 |
| Name of individual signing |
MONIKA WHITE |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
