BLACKER GREEN 401(K) PLAN
|
2016
|
273213383
|
2017-08-24
|
BLACKER GREEN, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
238220
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2017-08-24 |
Name of individual signing |
MALCOLM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-24 |
Name of individual signing |
MALCOLM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKER GREEN 401(K) PLAN
|
2016
|
273213383
|
2017-07-14
|
BLACKER GREEN, INC.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
7275727055
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
MALCOLM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-14 |
Name of individual signing |
MALCOLM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKER GREEN 401(K) PLAN
|
2015
|
273213383
|
2016-10-05
|
BLACKER GREEN, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
238220
|
Sponsor’s telephone number |
7275727055
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2016-10-05 |
Name of individual signing |
MALCOLM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKER GREEN 401(K) PLAN
|
2014
|
273213383
|
2015-09-04
|
BLACKER GREEN, INC.
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
811490
|
Sponsor’s telephone number |
7275727055
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2015-09-04 |
Name of individual signing |
MALCOM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKER GREEN 401(K) PLAN
|
2013
|
273213383
|
2014-10-15
|
BLACKER GREEN, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
811490
|
Sponsor’s telephone number |
7275727055
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
MALCOM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BLACKER GREEN 401(K) PLAN
|
2012
|
273213383
|
2013-10-15
|
BLACKER GREEN, INC.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2012-01-01
|
Business code |
811490
|
Sponsor’s telephone number |
7275727055
|
Plan sponsor’s
address |
P.O. BOX 17461, CLEARWATER, FL, 33762
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
MALCOM HORTON |
Valid signature |
Filed with authorized/valid electronic signature |
|
|