FBA HOLDING INC 401(K) PROFIT SHARING PLAN & TRUST
|
2020
|
593527862
|
2021-04-02
|
FBA HOLDING INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
1150 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381
|
Signature of
Role |
Plan administrator |
Date |
2021-04-02 |
Name of individual signing |
VINCENT BUQUICCHIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401(K) PROFIT SHARING PLAN & TRUST
|
2019
|
593527862
|
2020-06-18
|
FBA HOLDING INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
1150 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381
|
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2018
|
593527862
|
2019-06-25
|
FBA HOLDING INC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
1150 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381
|
Signature of
Role |
Plan administrator |
Date |
2019-06-25 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2017
|
593527862
|
2018-06-05
|
FBA HOLDING INC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
1150 PELICAN BAY DR, DAYTONA BEACH, FL, 321191381
|
Signature of
Role |
Plan administrator |
Date |
2018-06-05 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593527862
|
2017-06-22
|
FBA HOLDING INC
|
37
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
1150 PELICAN BAY DRIVE, DAYTONA BEACH, FL, 32119
|
Signature of
Role |
Plan administrator |
Date |
2017-06-22 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
593527862
|
2016-06-23
|
FBA HOLDING INC
|
35
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262
|
Signature of
Role |
Plan administrator |
Date |
2016-06-23 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
593527862
|
2015-06-29
|
FBA HOLDING INC
|
39
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262
|
Signature of
Role |
Plan administrator |
Date |
2015-06-29 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
593527862
|
2014-05-22
|
FBA HOLDING INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262
|
Signature of
Role |
Plan administrator |
Date |
2014-05-22 |
Name of individual signing |
JOE WASYLEAN |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
593527862
|
2013-07-16
|
FBA HOLDING INC
|
44
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3863104900
|
Plan sponsor’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262
|
Signature of
Role |
Plan administrator |
Date |
2013-07-16 |
Name of individual signing |
FBA HOLDING INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
FBA HOLDING INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
593527862
|
2012-06-25
|
FBA HOLDING INC
|
43
|
|
File |
View Page
|
Three-digit plan number (PN) |
002
|
Effective date of plan |
2008-01-01
|
Business code |
561110
|
Sponsor’s telephone number |
3862741860
|
Plan sponsor’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262
|
Plan administrator’s name and address
Administrator’s EIN |
593527862 |
Plan administrator’s name |
FBA HOLDING INC |
Plan administrator’s
address |
200 FENTRESS BLVD STE B, DAYTONA BEACH, FL, 321141262 |
Administrator’s telephone number |
3862741860 |
Signature of
Role |
Plan administrator |
Date |
2012-06-25 |
Name of individual signing |
FBA HOLDING INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|