KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2016
|
593144594
|
2017-01-17
|
KINGERY & CROUSE, P.A.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W. BUSCH BLVD, STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2017-01-17 |
Name of individual signing |
MARK KINGERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593144594
|
2016-09-15
|
KINGERY & CROUSE, P.A.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W. BUSCH BLVD, STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
MARK KINGERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593144594
|
2016-09-15
|
KINGERY & CROUSE, P.A.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2016-09-15 |
Name of individual signing |
MARK KINGERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2015
|
593144594
|
2017-01-17
|
KINGERY & CROUSE, P.A.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W. BUSCH BLVD, STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2017-01-17 |
Name of individual signing |
MARK KINGERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2014
|
593144594
|
2015-10-08
|
KINGERY & CROUSE, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2015-10-08 |
Name of individual signing |
MARK KINGERY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2013
|
593144594
|
2014-05-07
|
KINGERY & CROUSE, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Signature of
Role |
Plan administrator |
Date |
2014-05-07 |
Name of individual signing |
CHARLES R. CROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2012
|
593144594
|
2013-03-25
|
KINGERY & CROUSE, P.A.
|
21
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Plan administrator’s name and address
Administrator’s EIN |
593144594 |
Plan administrator’s name |
KINGERY & CROUSE, P.A. |
Plan administrator’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500 |
Administrator’s telephone number |
8138741280 |
Signature of
Role |
Plan administrator |
Date |
2013-03-25 |
Name of individual signing |
CHARLES R. CROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2011
|
593144594
|
2012-07-02
|
KINGERY & CROUSE, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Plan administrator’s name and address
Administrator’s EIN |
593144594 |
Plan administrator’s name |
KINGERY & CROUSE, P.A. |
Plan administrator’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500 |
Administrator’s telephone number |
8138741280 |
Signature of
Role |
Plan administrator |
Date |
2012-07-02 |
Name of individual signing |
CHARLES R. CROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2010
|
593144594
|
2011-06-21
|
KINGERY & CROUSE, P.A.
|
23
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Plan administrator’s name and address
Administrator’s EIN |
593144594 |
Plan administrator’s name |
KINGERY & CROUSE, P.A. |
Plan administrator’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500 |
Administrator’s telephone number |
8138741280 |
Signature of
Role |
Plan administrator |
Date |
2011-06-21 |
Name of individual signing |
CHARLES R. CROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
KINGERY & CROUSE, P.A. 401(K) PROFIT SHARING PLAN
|
2009
|
593144594
|
2010-07-26
|
KINGERY & CROUSE, P.A.
|
20
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
2002-01-01
|
Business code |
541990
|
Sponsor’s telephone number |
8138741280
|
Plan sponsor’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500
|
Plan administrator’s name and address
Administrator’s EIN |
593144594 |
Plan administrator’s name |
KINGERY & CROUSE, P.A. |
Plan administrator’s
address |
2801 W BUSCH BLVD STE 200, TAMPA, FL, 336184500 |
Administrator’s telephone number |
8138741280 |
Signature of
Role |
Plan administrator |
Date |
2010-07-26 |
Name of individual signing |
CHARLES R. CROUSE |
Valid signature |
Filed with authorized/valid electronic signature |
|
|