PEOPLES STATE BANK
|
2019
|
593512544
|
2020-03-18
|
PEOPLES STATE BANK
|
34
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2020-03-18 |
Name of individual signing |
ROBIN GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-03-18 |
Name of individual signing |
CESSIE COTHRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2018
|
593512544
|
2019-04-12
|
PEOPLES STATE BANK
|
31
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2019-04-12 |
Name of individual signing |
ROBIN GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-04-12 |
Name of individual signing |
CESSIE COTHRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2017
|
593512544
|
2018-06-20
|
PEOPLES STATE BANK
|
27
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2018-06-19 |
Name of individual signing |
ROBIN GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-20 |
Name of individual signing |
CESSIE COTHRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2016
|
593512544
|
2017-05-30
|
PEOPLES STATE BANK
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2017-05-30 |
Name of individual signing |
ROBIN GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-05-30 |
Name of individual signing |
CESSIE COTHRAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2015
|
593512544
|
2016-07-27
|
PEOPLES STATE BANK
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
|
PEOPLES STATE BANK
|
2014
|
593512544
|
2015-03-31
|
PEOPLES STATE BANK
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2015-03-31 |
Name of individual signing |
ROBIN C. GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2013
|
593512544
|
2014-03-20
|
PEOPLES STATE BANK
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2014-03-20 |
Name of individual signing |
ROBIN C. GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-03-20 |
Name of individual signing |
CHRISTOPHER DAMPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2012
|
593512544
|
2013-04-29
|
PEOPLES STATE BANK
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Signature of
Role |
Plan administrator |
Date |
2013-04-29 |
Name of individual signing |
ROBIN C. GREEN |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-04-29 |
Name of individual signing |
CHRISTOPHER DAMPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2011
|
593512544
|
2012-06-08
|
PEOPLES STATE BANK
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Plan administrator’s name and address
Administrator’s EIN |
593512544 |
Plan administrator’s name |
PEOPLES STATE BANK |
Plan administrator’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025 |
Administrator’s telephone number |
3867540002 |
Signature of
Role |
Plan administrator |
Date |
2012-06-08 |
Name of individual signing |
THOMAS M. RIHERD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2012-06-08 |
Name of individual signing |
CHRISTOPHER DAMPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
PEOPLES STATE BANK
|
2010
|
593512544
|
2011-05-26
|
PEOPLES STATE BANK
|
14
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2008-01-01
|
Business code |
522110
|
Sponsor’s telephone number |
3867540002
|
Plan sponsor’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025
|
Plan administrator’s name and address
Administrator’s EIN |
593512544 |
Plan administrator’s name |
PEOPLES STATE BANK |
Plan administrator’s
address |
350 SW MAIN BLVD., LAKE CITY, FL, 32025 |
Administrator’s telephone number |
3867540002 |
Signature of
Role |
Plan administrator |
Date |
2011-05-26 |
Name of individual signing |
THOMAS M. RIHERD |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-05-26 |
Name of individual signing |
CHRISTOPHER DAMPIER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|