SIS 401(K) PROFIT SHARING PLAN
|
2013
|
650387021
|
2014-06-04
|
SIMSOL INSURANCE SERVICES, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578
|
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS DEFINED BENEFIT PLAN
|
2013
|
650387021
|
2014-05-15
|
SIMSOL INSURANCE SERVICES, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2014-05-15 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS DEFINED BENEFIT PLAN
|
2013
|
650387021
|
2014-05-15
|
SIMSOL INSURANCE SERVICES, INC.
|
9
|
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2014-05-15 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS DEFINED BENEFIT PLAN
|
2012
|
650387021
|
2013-05-16
|
SIMSOL INSURANCE SERVICES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2013-05-16 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS 401(K) PROFIT SHARING PLAN
|
2012
|
650387021
|
2013-08-17
|
SIMSOL INSURANCE SERVICES, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578
|
Signature of
Role |
Plan administrator |
Date |
2013-08-17 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS DEFINED BENEFIT PLAN
|
2011
|
650387021
|
2012-07-12
|
SIMSOL INSURANCE SERVICES, INC.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PKWY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-10 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS 401(K) PROFIT SHARING PLAN
|
2011
|
650387021
|
2012-05-23
|
SIMSOL INSURANCE SERVICES, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2012-05-23 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-05-23 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS 401(K) PROFIT SHARING PLAN
|
2010
|
650387021
|
2011-04-11
|
SIMSOL INSURANCE SERVICES, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PARKWAY, NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2011-04-11 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-04-11 |
Name of individual signing |
DONALD L. ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SIS 401(K) PROFIT SHARING PLAN
|
2009
|
650387021
|
2010-07-22
|
SIMSOL INSURANCE SERVICES, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
8507299232
|
Plan sponsor’s
address |
1845 E. JOHN SIMS PKWY., NICEVILLE, FL, 32578
|
Plan administrator’s name and address
Administrator’s EIN |
650387021 |
Plan administrator’s name |
SIMSOL INSURANCE SERVICES, INC. |
Plan administrator’s
address |
1845 E. JOHN SIMS PKWY., NICEVILLE, FL, 32578 |
Administrator’s telephone number |
8507299232 |
Signature of
Role |
Plan administrator |
Date |
2010-07-22 |
Name of individual signing |
DONALD ROBERTS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|