ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2023
|
593440143
|
2024-05-29
|
ROBIN M. PETERSEN, P.A.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2024-05-29 |
Name of individual signing |
ROBIN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2022
|
593440143
|
2023-04-22
|
ROBIN M. PETERSEN, P.A.
|
8
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2023-04-22 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2021
|
593440143
|
2022-10-12
|
ROBIN M. PETERSEN, P.A.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2022-10-12 |
Name of individual signing |
ROBIN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2020
|
593440143
|
2021-04-26
|
ROBIN M. PETERSEN, P.A.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2021-04-26 |
Name of individual signing |
ROBIN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-04-26 |
Name of individual signing |
ROBIN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2019
|
593440143
|
2020-04-13
|
ROBIN M. PETERSEN, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2020-04-13 |
Name of individual signing |
ROBIN M PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-04-13 |
Name of individual signing |
ROBIN M PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2018
|
593440143
|
2019-04-03
|
ROBIN M. PETERSEN, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2019-04-03 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-03 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2017
|
593440143
|
2018-09-11
|
ROBIN M. PETERSEN, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2018-09-11 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-09-11 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2016
|
593440143
|
2017-05-08
|
ROBIN M. PETERSEN, P.A.
|
5
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2017-05-08 |
Name of individual signing |
ROBN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-08 |
Name of individual signing |
ROBN PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2015
|
593440143
|
2016-08-09
|
ROBIN M. PETERSEN, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2016-08-09 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-09 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ROBIN M. PETERSEN, P.A., 401(K) PROFIT SHARING PLAN
|
2014
|
593440143
|
2015-10-14
|
ROBIN M. PETERSEN, P.A.
|
4
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
1992-01-01
|
Business code |
541110
|
Sponsor’s telephone number |
3217290087
|
Plan sponsor’s
address |
321 SIXTH AVENUE, INDIALANTIC, FL, 32903
|
Signature of
Role |
Plan administrator |
Date |
2015-10-14 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-14 |
Name of individual signing |
ROBIN M. PETERSEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|