POLY-FAB, INC. 401(K) PLAN
|
2023
|
593231528
|
2024-04-09
|
POLY-FAB, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2024-04-09 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2022
|
593231528
|
2023-05-09
|
POLY-FAB, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2023-05-09 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2021
|
593231528
|
2022-04-26
|
POLY-FAB, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2022-04-26 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2020
|
593231528
|
2021-04-03
|
POLY-FAB, INC.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2021-04-03 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2019
|
593231528
|
2020-03-16
|
POLY-FAB, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2020-03-16 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2018
|
593231528
|
2019-02-27
|
POLY-FAB, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2019-02-27 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2017
|
593231528
|
2018-05-23
|
POLY-FAB, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2018-05-23 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2016
|
593231528
|
2017-06-02
|
POLY-FAB, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2017-06-02 |
Name of individual signing |
JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
POLY-FAB, INC. 401(K) PLAN
|
2015
|
593231528
|
2016-07-29
|
POLY-FAB, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
|
POLY-FAB, INC. 401(K) PLAN
|
2014
|
593231528
|
2015-06-23
|
POLY-FAB, INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2010-01-01
|
Business code |
621111
|
Sponsor’s telephone number |
8636485542
|
Plan sponsor’s
address |
4466 HOLDEN RD, LAKELAND, FL, 33811
|
Signature of
Role |
Plan administrator |
Date |
2015-06-23 |
Name of individual signing |
B. JAMES RENNER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|