DAVID N. ADAMS INC. STOCK BONUS PENSION BENEFIT PLAN
|
2016
|
593116273
|
2017-11-01
|
DAVID N. ADAMS, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan
sponsor’s DBA name |
1948
|
Plan sponsor’s mailing address |
166 A1A NORTH, SUITE 101, PONTE VEDRA, FL, 32082
|
Plan sponsor’s
address |
166 A1A NORTH, SUITE 101, PONTE VEDRA, FL, 32082
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-11-01 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-01 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N ADAMS INC STOCK BONUS PENSION BENEFIT PLAN
|
2015
|
593116273
|
2016-09-30
|
DAVID N ADAMS INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s mailing address |
166 A1A N STE 101, PONTE VEDRA, FL, 320825701
|
Plan sponsor’s
address |
166 A1A N STE 101, PONTE VEDRA, FL, 320825701
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-09-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-09-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N ADAMS INC STOCK BONUS PENSION BENEFIT PLAN
|
2014
|
593116273
|
2016-08-08
|
DAVID N. ADAMS, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s
address |
166 A1A, NORTH SUITE 101, PONTE VEDRA, FL, 32082
|
Plan administrator’s name and address
Administrator’s EIN |
593116273 |
Plan administrator’s name |
DAVID N. ADAMS, INC. |
Plan administrator’s
address |
166 A1A, NORTH SUITE 101, PONTE VEDRA, FL, 32082 |
Administrator’s telephone number |
9043390015 |
Signature of
Role |
Plan administrator |
Date |
2016-08-08 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-08 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N. ADAMS, INC STOCK BONUS PENSION BENEFIT PLAN
|
2013
|
593116273
|
2014-07-30
|
DAVID N. ADAMS, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s
address |
324 6TH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N. ADAMS, INC. STOCK BONUS PENSION BENEFIT PLAN
|
2012
|
593116273
|
2014-07-30
|
DAVID N. ADAMS, INC
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s mailing address |
324 6TH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Plan sponsor’s
address |
324 6TH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Number of participants as of the end of the plan year
Active participants |
1 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Number of
participants
with
account balances as of the end of the plan year |
1 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2014-07-30 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N. ADAMS, INC. STOCK BONUS PENSION BENEFIT PLAN
|
2011
|
593116273
|
2012-07-10
|
DAVID N. ADAMS, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
Administrator’s EIN |
593116273 |
Plan administrator’s name |
DAVID N. ADAMS, INC. |
Plan administrator’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250 |
Administrator’s telephone number |
9043390015 |
Signature of
Role |
Plan administrator |
Date |
2012-07-10 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N. ADAMS, INC. STOCK BONUS PENSION BENEFIT PLAN
|
2010
|
593116273
|
2011-09-16
|
DAVID N. ADAMS, INC.
|
1
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
Administrator’s EIN |
593116273 |
Plan administrator’s name |
DAVID N. ADAMS, INC. |
Plan administrator’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250 |
Administrator’s telephone number |
9043390015 |
Signature of
Role |
Plan administrator |
Date |
2011-09-16 |
Name of individual signing |
GARY JONES |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DAVID N. ADAMS, INC. STOCK BONUS PENSION BENEFIT PLAN
|
2010
|
593116273
|
2011-09-16
|
DAVID N. ADAMS, INC.
|
1
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1992-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
9043390015
|
Plan sponsor’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250
|
Plan administrator’s name and address
Administrator’s EIN |
593116273 |
Plan administrator’s name |
DAVID N. ADAMS, INC. |
Plan administrator’s
address |
324 SIXTH AVENUE, NORTH, JACKSONVILLE BEACH, FL, 32250 |
Administrator’s telephone number |
9043390015 |
|