|
EXECUTIVE SOURCE, INC. 401(K) PLAN AND TRUST
|
2011
|
593201254
|
2012-05-16
|
EXECUTIVE SOURCE, INC.
|
3
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
4072284470
|
| Plan sponsor’s
address |
501 N. ORLANDO AVE., SUITE 313-227, WINTER PARK, FL, 32789
|
Plan administrator’s name and address
| Administrator’s EIN |
593201254 |
| Plan administrator’s name |
EXECUTIVE SOURCE, INC. |
| Plan administrator’s
address |
501 N. ORLANDO AVE., SUITE 313-227, WINTER PARK, FL, 32789 |
| Administrator’s telephone number |
4072284470 |
Signature of
| Role |
Plan administrator |
| Date |
2012-05-16 |
| Name of individual signing |
JESSE MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2012-05-16 |
| Name of individual signing |
JESSE MILLER |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXECUTIVE SOURCE, INC. 401(K) PLAN AND TRUST
|
2010
|
593201254
|
2011-10-17
|
EXECUTIVE SOURCE, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
4072284470
|
| Plan sponsor’s
address |
1013 MONTANA STREET, STE. B, ORLANDO, FL, 32803
|
Plan administrator’s name and address
| Administrator’s EIN |
593201254 |
| Plan administrator’s name |
EXECUTIVE SOURCE, INC. |
| Plan administrator’s
address |
1013 MONTANA STREET, STE. B, ORLANDO, FL, 32803 |
| Administrator’s telephone number |
4072284470 |
Signature of
| Role |
Plan administrator |
| Date |
2011-10-17 |
| Name of individual signing |
RAY BAZZI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
EXECUTIVE SOURCE, INC. 401(K) PLAN AND TRUST
|
2009
|
593201254
|
2010-07-26
|
EXECUTIVE SOURCE, INC.
|
21
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2001-01-01
|
| Business code |
541519
|
| Sponsor’s telephone number |
4072284470
|
| Plan sponsor’s
address |
1013 MONTANA STREET, STE. B, ORLANDO, FL, 32803
|
Plan administrator’s name and address
| Administrator’s EIN |
593201254 |
| Plan administrator’s name |
EXECUTIVE SOURCE, INC. |
| Plan administrator’s
address |
1013 MONTANA STREET, STE. B, ORLANDO, FL, 32803 |
| Administrator’s telephone number |
4072284470 |
Signature of
| Role |
Plan administrator |
| Date |
2010-07-26 |
| Name of individual signing |
RAY BAZZI |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
