MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2010
|
593214852
|
2011-12-20
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-12-20 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2010
|
593214852
|
2011-12-20
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
Administrator’s telephone number |
7278623519 |
Signature of
Role |
Plan administrator |
Date |
2011-12-20 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2010
|
593214852
|
2011-12-20
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Active participants |
5 |
Number of
participants
with
account balances as of the end of the plan year |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-12-20 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-12-20 |
Name of individual signing |
TIMOTHY HOWELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2010
|
593214852
|
2011-02-01
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34654 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2011-02-01 |
Name of individual signing |
TIMOTHY HOWELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-02-01 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
TIMOTHY HOWELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
TIMOTHY HOWELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-05-11 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2010-05-11 |
Name of individual signing |
TIMOTHY HOWELLS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MIKE PETERS INSURANCE AGENCY INC PROFIT SHARING PLAN
|
2009
|
593214852
|
2010-05-11
|
MIKE PETERS INSURANCE AGENCY INC
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1996-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7278623519
|
Plan sponsor’s mailing address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan sponsor’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668
|
Plan administrator’s name and address
Administrator’s EIN |
593214852 |
Plan administrator’s name |
MIKE PETERS INSURANCE AGENCY INC |
Plan administrator’s
address |
11315 LITTLE ROAD, NEW PORT RICHEY, FL, 34668 |
Administrator’s telephone number |
7278623519 |
Number of participants as of the end of the plan year
Signature of
Role |
Plan administrator |
Date |
2010-05-11 |
Name of individual signing |
JAMES PETERS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|