A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593115215
|
2017-06-23
|
A CERTIFIED SCREEN SERVICE INC
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2017-06-23 |
Name of individual signing |
TODD ORIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2016
|
593115215
|
2017-08-01
|
A CERTIFIED SCREEN SERVICE INC
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2017-08-01 |
Name of individual signing |
TODD M. ORIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2015
|
593115215
|
2016-05-13
|
A CERTIFIED SCREEN SERVICE INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2016-05-13 |
Name of individual signing |
TODD ORIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2014
|
593115215
|
2015-05-21
|
A CERTIFIED SCREEN SERVICE INC
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2015-05-21 |
Name of individual signing |
TODD M. ORIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2013
|
593115215
|
2014-05-12
|
A CERTIFIED SCREEN SERVICE INC
|
18
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2014-05-12 |
Name of individual signing |
JOELLEN ORIE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2012
|
593115215
|
2013-05-28
|
A CERTIFIED SCREEN SERVICE INC
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Signature of
Role |
Plan administrator |
Date |
2013-05-28 |
Name of individual signing |
A CERTIFIED SCREEN SERVICE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2011
|
593115215
|
2012-05-16
|
A CERTIFIED SCREEN SERVICE INC
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Plan administrator’s name and address
Administrator’s EIN |
593115215 |
Plan administrator’s name |
A CERTIFIED SCREEN SERVICE INC |
Plan administrator’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540 |
Administrator’s telephone number |
3866730054 |
Signature of
Role |
Plan administrator |
Date |
2012-05-16 |
Name of individual signing |
A CERTIFIED SCREEN SERVICE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC 401 K PROFIT SHARING PLAN TRUST
|
2010
|
593115215
|
2011-06-01
|
A CERTIFIED SCREEN SERVICE INC
|
16
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Plan administrator’s name and address
Administrator’s EIN |
593115215 |
Plan administrator’s name |
A CERTIFIED SCREEN SERVICE INC |
Plan administrator’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540 |
Administrator’s telephone number |
3866730054 |
Signature of
Role |
Plan administrator |
Date |
2011-06-01 |
Name of individual signing |
A CERTIFIED SCREEN SERVICE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
A CERTIFIED SCREEN SERVICE INC
|
2009
|
593115215
|
2010-05-27
|
A CERTIFIED SCREEN SERVICE INC
|
24
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2007-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
3866730054
|
Plan sponsor’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540
|
Plan administrator’s name and address
Administrator’s EIN |
593115215 |
Plan administrator’s name |
A CERTIFIED SCREEN SERVICE INC |
Plan administrator’s
address |
560 S YONGE ST, ORMOND BEACH, FL, 321747540 |
Administrator’s telephone number |
3866730054 |
Signature of
Role |
Plan administrator |
Date |
2010-05-27 |
Name of individual signing |
A CERTIFIED SCREEN SERVICE INC |
Valid signature |
Filed with authorized/valid electronic signature |
|
|