ANDAM INC. 401(K) P/S PLAN
|
2023
|
263905947
|
2024-07-08
|
ANDAM INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
312110
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Signature of
Role |
Plan administrator |
Date |
2024-07-08 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2022
|
263905947
|
2023-04-11
|
ANDAM INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2023-04-11 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2021
|
263905947
|
2022-05-17
|
ANDAM INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2022-05-17 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2020
|
263905947
|
2021-05-19
|
ANDAM INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2021-05-19 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2019
|
263905947
|
2020-05-29
|
ANDAM INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2020-05-29 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2018
|
263905947
|
2019-05-23
|
ANDAM INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2019-05-23 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ANDAM INC. 401(K) P/S PLAN
|
2017
|
263905947
|
2018-06-28
|
ANDAM INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2017-01-01
|
Business code |
445291
|
Sponsor’s telephone number |
7274219491
|
Plan sponsor’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
263905947 |
Plan administrator’s name |
ANDAM INC. |
Plan administrator’s
address |
100 MAIN ST STE 102, SAFETY HARBOR, FL, 34695 |
Administrator’s telephone number |
7274219491 |
Signature of
Role |
Plan administrator |
Date |
2018-06-28 |
Name of individual signing |
ANDREA KASHTAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|