BOB DEGRAAF INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
593050515
|
2011-08-01
|
BOB DEGRAAF INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7274301312
|
Plan sponsor’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307
|
Plan administrator’s name and address
Administrator’s EIN |
593050515 |
Plan administrator’s name |
BOB DEGRAAF INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307 |
Administrator’s telephone number |
7274301312 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOB DEGRAAF INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
593050515
|
2011-08-01
|
BOB DEGRAAF INSURANCE AGENCY, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7274301312
|
Plan sponsor’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307
|
Plan administrator’s name and address
Administrator’s EIN |
593050515 |
Plan administrator’s name |
BOB DEGRAAF INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307 |
Administrator’s telephone number |
7274301312 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BOB DEGRAAF INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
593050515
|
2011-06-09
|
BOB DEGRAAF INSURANCE AGENCY, INC.
|
7
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7274301312
|
Plan sponsor’s
address |
3499 4TH STREET N., ST. PETERSBURG, FL, 337041307
|
Plan administrator’s name and address
Administrator’s EIN |
593050515 |
Plan administrator’s name |
BOB DEGRAAF INSURANCE AGENCY, INC. |
Plan administrator’s
address |
3499 4TH STREET N., ST. PETERSBURG, FL, 337041307 |
Administrator’s telephone number |
7274301312 |
Signature of
Role |
Plan administrator |
Date |
2011-06-09 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-06-09 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
BOB DEGRAAF INSURANCE AGENCY, INC. 401(K) PLAN
|
2010
|
593050515
|
2011-08-01
|
BOB DEGRAAF INSURANCE AGENCY, INC.
|
6
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7274301312
|
Plan sponsor’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307
|
Plan administrator’s name and address
Administrator’s EIN |
593050515 |
Plan administrator’s name |
BOB DEGRAAF INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307 |
Administrator’s telephone number |
7274301312 |
Signature of
Role |
Plan administrator |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-01 |
Name of individual signing |
ROBERT DEGRAAF |
Valid signature |
Filed with incorrect/unrecognized electronic signature |
|
|
BOB DEGRAAF INSURANCE AGENCY, INC. 401(K) PLAN
|
2009
|
593050515
|
2010-07-06
|
BOB DEGRAAF INSURANCE AGENCY, INC.
|
6
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1993-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
7274301312
|
Plan sponsor’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307
|
Plan administrator’s name and address
Administrator’s EIN |
593050515 |
Plan administrator’s name |
BOB DEGRAAF INSURANCE AGENCY, INC. |
Plan administrator’s
address |
1275 38TH AVENUE NE, ST. PETERSBURG, FL, 337041307 |
Administrator’s telephone number |
7274301312 |
Signature of
Role |
Plan administrator |
Date |
2010-07-06 |
Name of individual signing |
ROBERT ALLEN DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2010-07-06 |
Name of individual signing |
ROBERT ALLEN DEGRAAF |
Valid signature |
Filed with authorized/valid electronic signature |
|
|