|
BEACHES COUNSELING, INC. 401(K) PLAN
|
2010
|
593048096
|
2011-07-21
|
BEACHES COUNSELING, INC.
|
10
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9042410474
|
| Plan sponsor’s
address |
645 MAYPORT ROAD, SUITE 3A, ATLANTIC BEACH, FL, 32233
|
Plan administrator’s name and address
| Administrator’s EIN |
593048096 |
| Plan administrator’s name |
BEACHES COUNSELING, INC. |
| Plan administrator’s
address |
645 MAYPORT ROAD, SUITE 3A, ATLANTIC BEACH, FL, 32233 |
| Administrator’s telephone number |
9042410474 |
Signature of
| Role |
Plan administrator |
| Date |
2011-07-21 |
| Name of individual signing |
LYNN ALLIGOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2011-07-21 |
| Name of individual signing |
LYNN ALLIGOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
|
BEACHES COUNSELING, INC. 401(K) PLAN
|
2009
|
593048096
|
2010-10-14
|
BEACHES COUNSELING, INC.
|
11
|
|
| File |
View Page
|
| Three-digit plan number (PN) |
001
|
| Effective date of plan |
2004-01-01
|
| Business code |
621330
|
| Sponsor’s telephone number |
9042410474
|
| Plan sponsor’s
address |
645 MAYPORT ROAD, SUITE 3A, ATLANTIC BEACH, FL, 32233
|
Plan administrator’s name and address
| Administrator’s EIN |
593048096 |
| Plan administrator’s name |
BEACHES COUNSELING, INC. |
| Plan administrator’s
address |
645 MAYPORT ROAD, SUITE 3A, ATLANTIC BEACH, FL, 32233 |
| Administrator’s telephone number |
9042410474 |
Signature of
| Role |
Plan administrator |
| Date |
2010-10-13 |
| Name of individual signing |
LYNN ALLIGOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
| Role |
Employer/plan sponsor |
| Date |
2010-10-13 |
| Name of individual signing |
LYNN ALLIGOOD |
| Valid signature |
Filed with authorized/valid electronic signature |
|
|
