FORMSYSTEMS, INC. RETIREMENT PLAN
|
2020
|
593319825
|
2021-09-23
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
2317 ARRIVISTE WAY, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2021-09-23 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2019
|
593319825
|
2020-12-16
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2020-12-16 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2018
|
593319825
|
2019-05-24
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2019-05-24 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-05-24 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2017
|
593319825
|
2018-07-16
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2018-07-16 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-16 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2016
|
593319825
|
2017-07-16
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2017-07-16 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-16 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2015
|
593319825
|
2016-09-09
|
FORMSYSTEMS, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2016-09-09 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-09 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2014
|
593319825
|
2015-04-27
|
FORMSYSTEMS, INC.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
3700 CREIGHTON ROAD #3, PENSACOLA, FL, 32504
|
Signature of
Role |
Plan administrator |
Date |
2015-04-27 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-04-27 |
Name of individual signing |
KAREN WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2013
|
593319825
|
2014-06-18
|
FORMSYSTEMS, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
P.O. BOX 11187, PENSACOLA, FL, 325241187
|
Signature of
Role |
Plan administrator |
Date |
2014-06-18 |
Name of individual signing |
KAREN M. WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2012
|
593319825
|
2013-10-11
|
FORMSYSTEMS, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
P.O. BOX 11187, PENSACOLA, FL, 325241187
|
Signature of
Role |
Plan administrator |
Date |
2013-10-11 |
Name of individual signing |
KAREN M. WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FORMSYSTEMS, INC. RETIREMENT PLAN
|
2011
|
593319825
|
2012-07-24
|
FORMSYSTEMS, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1997-01-01
|
Business code |
453990
|
Sponsor’s telephone number |
8504790800
|
Plan sponsor’s
address |
P.O. BOX 11187, PENSACOLA, FL, 325241187
|
Plan administrator’s name and address
Administrator’s EIN |
593319825 |
Plan administrator’s name |
FORMSYSTEMS, INC. |
Plan administrator’s
address |
P.O. BOX 11187, PENSACOLA, FL, 325241187 |
Administrator’s telephone number |
8504790800 |
Signature of
Role |
Plan administrator |
Date |
2012-07-24 |
Name of individual signing |
KAREN M. WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-07-24 |
Name of individual signing |
KAREN M. WEBB |
Valid signature |
Filed with authorized/valid electronic signature |
|
|