DAVIE INSURANCE GROUP INC.
|
2013
|
650561285
|
2014-09-12
|
DAVIE INSURANCE GROUP INC.
|
3
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9544339229
|
Plan sponsor’s
address |
1001 WEST CYPRESS CREEK RD, #409, FORT LAUDERDALE, FL, 33309
|
Signature of
Role |
Plan administrator |
Date |
2014-09-12 |
Name of individual signing |
BRUCE GORODETSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-09-12 |
Name of individual signing |
BRUCE GORODETSKY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVIE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
650561285
|
2012-07-31
|
DAVIE INSURANCE GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9544339229
|
Plan sponsor’s
address |
1001 W CYPRESS CREEK RD STE 40, FORT LAUDERDALE, FL, 333091951
|
Plan administrator’s name and address
Administrator’s EIN |
650561285 |
Plan administrator’s name |
DAVIE INSURANCE GROUP, INC. |
Plan administrator’s
address |
1001 W CYPRESS CREEK RD STE 40, FORT LAUDERDALE, FL, 333091951 |
Administrator’s telephone number |
9544339229 |
Signature of
Role |
Plan administrator |
Date |
2012-07-31 |
Name of individual signing |
DAVIE INSURANCE GROUP, INC. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVIE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
650561285
|
2011-08-30
|
DAVIE INSURANCE GROUP, INC.
|
2
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9544339229
|
Plan sponsor’s
address |
1001 W CYPRESS CREEK RD # 409, FORT LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
Administrator’s EIN |
650561285 |
Plan administrator’s name |
DAVIE INSURANCE GROUP, INC. |
Plan administrator’s
address |
1001 W CYPRESS CREEK RD # 409, FORT LAUDERDALE, FL, 33309 |
Administrator’s telephone number |
9544339229 |
Signature of
Role |
Plan administrator |
Date |
2011-08-30 |
Name of individual signing |
DAVIE INSURANCE GROUP, INC. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVIE INSURANCE GROUP INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
650561285
|
2011-08-08
|
DAVIE INSURANCE GROUP, INC.
|
2
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2006-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9544339229
|
Plan sponsor’s
address |
1001 W CYPRESS CREEK RD # 409, FORT LAUDERDALE, FL, 33309
|
Plan administrator’s name and address
Administrator’s EIN |
650561285 |
Plan administrator’s name |
DAVIE INSURANCE GROUP, INC. |
Plan administrator’s
address |
1001 W CYPRESS CREEK RD # 409, FORT LAUDERDALE, FL, 33309 |
Administrator’s telephone number |
9544339229 |
Signature of
Role |
Plan administrator |
Date |
2011-08-08 |
Name of individual signing |
DAVIE INSURANCE GROUP, INC. |
Valid signature |
Filed with authorized/valid electronic signature |
|
|