PHILIP ROSSI INSURANCE AGENCY 401(K) PLAN
|
2012
|
651160568
|
2013-03-19
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
12789 W FOREST HILLS BLVD., SUITE 2C, WELLINGTON, FL, 33414
|
Signature of
Role |
Plan administrator |
Date |
2013-03-19 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-03-19 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP ROSSI INSURANCE AGENCY 401(K) PLAN
|
2011
|
651160568
|
2012-10-09
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
12789 W FOREST HILLS BLVD., SUITE 2C, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
651160568 |
Plan administrator’s name |
PHILIP ROSSI INSURANCE AGENCY, INC. |
Plan administrator’s
address |
12789 W FOREST HILLS BLVD., SUITE 2C, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617937999 |
Signature of
Role |
Plan administrator |
Date |
2012-10-09 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-10-09 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP ROSSI INSURANCE AGENCY 401(K) PLAN
|
2010
|
651160568
|
2011-10-13
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
9
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
651160568 |
Plan administrator’s name |
PHILIP ROSSI INSURANCE AGENCY, INC. |
Plan administrator’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617937999 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
PHILIP ROSSI INSURANCE AGENCY 401(K) PLAN
|
2010
|
651160568
|
2011-10-13
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
651160568 |
Plan administrator’s name |
PHILIP ROSSI INSURANCE AGENCY, INC. |
Plan administrator’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617937999 |
Signature of
Role |
Plan administrator |
Date |
2011-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP ROSSI INSURANCE AGENCY 401(K) PLAN
|
2009
|
651160568
|
2010-10-13
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
10
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2004-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
651160568 |
Plan administrator’s name |
PHILIP ROSSI INSURANCE AGENCY, INC. |
Plan administrator’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617937999 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PHILIP ROSSI INSURANCE AGENCY DEFINED BENEFIT PLAN
|
2009
|
651160568
|
2010-10-13
|
PHILIP ROSSI INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
524140
|
Sponsor’s telephone number |
5617937999
|
Plan sponsor’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414
|
Plan administrator’s name and address
Administrator’s EIN |
651160568 |
Plan administrator’s name |
PHILIP ROSSI INSURANCE AGENCY, INC. |
Plan administrator’s
address |
11924 FOREST HILL BLVD., SUITE 1, WELLINGTON, FL, 33414 |
Administrator’s telephone number |
5617937999 |
Signature of
Role |
Plan administrator |
Date |
2010-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-10-13 |
Name of individual signing |
PHILIP ROSSI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|