COSTA FINANCIAL INSURANCE, INC. DEFINED BENEFIT PLAN
|
2012
|
208447561
|
2013-07-09
|
COSTA FINANCIAL INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8002756703
|
Plan sponsor’s
address |
2740 EAST OAKLAND PARK BLVD., FORT LAUDERDALE, FL, 33306
|
Signature of
Role |
Plan administrator |
Date |
2013-07-09 |
Name of individual signing |
ANDREW COSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COSTA FINANCIAL INSURANCE, INC. DEFINED BENEFIT PLAN
|
2011
|
208447561
|
2012-09-25
|
COSTA FINANCIAL INSURANCE, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
8002756703
|
Plan sponsor’s
address |
2740 EAST OAKLAND PARK BLVD., FORT LAUDERDALE, FL, 33306
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE, INC. |
Plan administrator’s
address |
2740 EAST OAKLAND PARK BLVD., FORT LAUDERDALE, FL, 33306 |
Administrator’s telephone number |
8002756703 |
Signature of
Role |
Plan administrator |
Date |
2012-09-25 |
Name of individual signing |
ANDREW COSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2010
|
208447561
|
2010-10-18
|
COSTA FINANCIAL INSURANCE
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
Signature of
Role |
Plan administrator |
Date |
2010-10-15 |
Name of individual signing |
ANDREW COSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2009
|
208447561
|
2010-06-30
|
COSTA FINANCIAL INSURANCE
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2009
|
208447561
|
2010-08-03
|
COSTA FINANCIAL INSURANCE
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
Signature of
Role |
Plan administrator |
Date |
2010-08-03 |
Name of individual signing |
ANDREW G. COSTA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2009
|
208447561
|
2010-08-06
|
COSTA FINANCIAL INSURANCE
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
Signature of
Role |
Plan administrator |
Date |
2010-08-06 |
Name of individual signing |
ANDREW COSTA |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2009
|
208447561
|
2010-08-02
|
COSTA FINANCIAL INSURANCE
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
Signature of
Role |
Plan administrator |
Date |
2010-07-31 |
Name of individual signing |
ANDREW G. COSTA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-31 |
Name of individual signing |
ANDREW G. COSTA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
COSTA FINANCIAL INSURANCE 401(K) PROFIT SHARING PLAN
|
2009
|
208447561
|
2010-07-31
|
COSTA FINANCIAL INSURANCE
|
4
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
5619882180
|
Plan sponsor’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487
|
Plan administrator’s name and address
Administrator’s EIN |
208447561 |
Plan administrator’s name |
COSTA FINANCIAL INSURANCE |
Plan administrator’s
address |
6751 N. FEDERAL HIGHWAY, STE. 100, BOCA RATON, FL, 33487 |
Administrator’s telephone number |
5619882180 |
Signature of
Role |
Plan administrator |
Date |
2010-07-31 |
Name of individual signing |
ANDREW G. COSTA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-31 |
Name of individual signing |
ANDREW G. COSTA |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|