BURGESS HEATING & AIR INC 401(K) PROFIT SHARING PLAN AND TRUST
|
2023
|
593183619
|
2024-10-08
|
BURGESS HEATING & AIR, INC.
|
25
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
976 DR. ML KING JR ST N, SAFETY HARBOR, FL, 34695
|
Plan administrator’s name and address
Administrator’s EIN |
621874769 |
Plan administrator’s name |
ADMINISTRATIVE GROUP, LLC DBA TAG RESOURCES |
Plan administrator’s
address |
6501 DEANE HILL DRIVE, KNOXVILLE, TN, 37919 |
Administrator’s telephone number |
8656701844 |
Signature of
Role |
Plan administrator |
Date |
2024-10-08 |
Name of individual signing |
TARA EVANS, FOR TAG RESOURCES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING & AIR INC 401(K) PROFIT SHARING PLAN & TRUST
|
2022
|
593183619
|
2023-05-02
|
BURGESS HEATING & AIR INC
|
30
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2023-05-02 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING & AIR INC 401(K) PROFIT SHARING PLAN & TRUST
|
2021
|
593183619
|
2022-05-03
|
BURGESS HEATING & AIR INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2022-05-03 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING & AIR INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
593183619
|
2021-05-05
|
BURGESS HEATING & AIR INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2021-05-05 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING & AIR INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
593183619
|
2020-05-21
|
BURGESS HEATING & AIR INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2020-05-21 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING AIR INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
593183619
|
2019-05-02
|
BURGESS HEATING & AIR INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2019-05-02 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING AIR INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
593183619
|
2018-06-12
|
BURGESS HEATING & AIR INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2018-06-12 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING AIR INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593183619
|
2017-06-05
|
BURGESS HEATING & AIR INC
|
29
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2017-06-05 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING AIR INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
593183619
|
2016-07-13
|
BURGESS HEATING & AIR INC
|
36
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2016-07-13 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BURGESS HEATING AIR INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
593183619
|
2015-07-06
|
BURGESS HEATING & AIR INC
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
7277252905
|
Plan sponsor’s
address |
PO BOX 387, SAFETY HARBOR, FL, 346950387
|
Signature of
Role |
Plan administrator |
Date |
2015-07-06 |
Name of individual signing |
WILLIAM R BURGESS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|