|
ESCUDO INSURANCE CORP 401(K) P/S PLAN
|
2023
|
475393109
|
2024-07-30
|
ESCUDO INSURANCE CORP
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3057023250
|
| Plan sponsor’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016
|
Signature of
| Role |
Plan administrator |
| Date |
2024-07-30 |
| Name of individual signing |
YOBANY GARCIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2024-07-30 |
| Name of individual signing |
YOBANY GARCIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ESCUDO INSURANCE CORP 401(K) P/S PLAN
|
2022
|
475393109
|
2023-04-17
|
ESCUDO INSURANCE CORP
|
4
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3057023250
|
| Plan sponsor’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
| Administrator’s EIN |
475393109 |
| Plan administrator’s name |
ESCUDO INSURANCE CORP |
| Plan administrator’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016 |
| Administrator’s telephone number |
3057023250 |
Signature of
| Role |
Plan administrator |
| Date |
2023-04-17 |
| Name of individual signing |
YOBANY GARCIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ESCUDO INSURANCE CORP 401(K) P/S PLAN
|
2022
|
475393109
|
2023-03-27
|
ESCUDO INSURANCE CORP
|
4
|
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3057023250
|
| Plan sponsor’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
| Administrator’s EIN |
475393109 |
| Plan administrator’s name |
ESCUDO INSURANCE CORP |
| Plan administrator’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016 |
| Administrator’s telephone number |
3057023250 |
Signature of
| Role |
Plan administrator |
| Date |
2023-03-27 |
| Name of individual signing |
YOBANY GARCIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
ESCUDO INSURANCE CORP 401(K) P/S PLAN
|
2021
|
475393109
|
2022-03-30
|
ESCUDO INSURANCE CORP
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2021-01-01
|
| Business code |
524210
|
| Sponsor’s telephone number |
3057023250
|
| Plan sponsor’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016
|
Plan administrator’s name and address
| Administrator’s EIN |
475393109 |
| Plan administrator’s name |
ESCUDO INSURANCE CORP |
| Plan administrator’s
address |
8040 NW 95TH ST APT 336, MIAMI LAKES, FL, 33016 |
| Administrator’s telephone number |
3057023250 |
Signature of
| Role |
Plan administrator |
| Date |
2022-03-30 |
| Name of individual signing |
YOBANY GARCIA |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
