MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2023
|
050346148
|
2024-05-24
|
MANSFIELD INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2024-05-24 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2022
|
050346148
|
2023-05-30
|
MANSFIELD INSURANCE AGENCY, INC.
|
15
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2023-05-30 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2021
|
050346148
|
2022-06-14
|
MANSFIELD INSURANCE AGENCY, INC.
|
17
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2022-06-14 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2020
|
050346148
|
2021-06-02
|
MANSFIELD INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2021-06-02 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2019
|
050346148
|
2020-06-18
|
MANSFIELD INSURANCE AGENCY, INC.
|
13
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2020-06-18 |
Name of individual signing |
GMANSFIELD6457 |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2019
|
050346148
|
2020-06-30
|
MANSFIELD INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2020-06-30 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2018
|
050346148
|
2019-09-27
|
MANSFIELD INSURANCE AGENCY, INC.
|
12
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2019-09-27 |
Name of individual signing |
GARRY MANSFIELD |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2017
|
050346148
|
2018-07-12
|
MANSFIELD INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH STREET, WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2018-07-12 |
Name of individual signing |
MARGARET LONGOLUCCO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2016
|
050346148
|
2017-05-25
|
MANSFIELD INSURANCE AGENCY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2017-05-25 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2015
|
050346148
|
2016-05-27
|
MANSFIELD INSURANCE AGENCY, INC.
|
11
|
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-01-01
|
Business code |
524210
|
Sponsor’s telephone number |
4015962096
|
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891
|
Signature of
Role |
Plan administrator |
Date |
2016-05-26 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2014
|
050346148
|
2015-06-12
|
MANSFIELD INSURANCE AGENCY, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/06/12/20150612181137P030042678503001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015962096 |
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Signature of
Role |
Plan administrator |
Date |
2015-06-12 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2013
|
050346148
|
2014-06-04
|
MANSFIELD INSURANCE AGENCY, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/04/20140604111636P030370524147001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015962096 |
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Signature of
Role |
Plan administrator |
Date |
2014-06-04 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2012
|
050346148
|
2013-06-17
|
MANSFIELD INSURANCE AGENCY, INC.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/06/17/20130617154221P030335878001001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015962096 |
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Signature of
Role |
Plan administrator |
Date |
2013-06-17 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2011
|
050346148
|
2012-06-22
|
MANSFIELD INSURANCE AGENCY, INC.
|
10
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/06/22/20120622110353P040005805780001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015962096 |
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Plan administrator’s name and address
Administrator’s EIN |
050346148 |
Plan administrator’s name |
MANSFIELD INSURANCE AGENCY, INC. |
Plan administrator’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Administrator’s telephone number |
4015962096 |
Signature of
Role |
Plan administrator |
Date |
2012-06-22 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
MANSFIELD INSURANCE AGENCY, INC. 401(K) PS PLAN & TRUST
|
2010
|
050346148
|
2011-07-07
|
MANSFIELD INSURANCE AGENCY, INC.
|
11
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/07/20110707110836P030419854208001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-01-01 |
Business code |
524210 |
Sponsor’s telephone number |
4015962096 |
Plan sponsor’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Plan administrator’s name and address
Administrator’s EIN |
050346148 |
Plan administrator’s name |
MANSFIELD INSURANCE AGENCY, INC. |
Plan administrator’s
address |
115 HIGH ST., WESTERLY, RI, 02891 |
Administrator’s telephone number |
4015962096 |
Signature of
Role |
Plan administrator |
Date |
2011-07-07 |
Name of individual signing |
LINDA LUNGHI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|