DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2019
|
050377446
|
2020-07-10
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2020-07-10 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2018
|
050377446
|
2019-07-23
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2019-07-23 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2017
|
050377446
|
2018-10-04
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
11
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2018-10-04 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2016
|
050377446
|
2017-10-16
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2017-10-16 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2015
|
050377446
|
2016-10-17
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2016-10-17 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2014
|
050377446
|
2015-10-15
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2015-10-15 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2013
|
050377446
|
2014-10-15
|
DUXBURY & RAY INSURANCE AGENCY, INC.
|
9
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
292 WATERMAN AVENUE, PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2014-10-15 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2012
|
050377446
|
2013-10-15
|
DUXBURY AND RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
PO BOX 17088, SMITHFIELD, RI, 02917
|
Signature of
Role |
Plan administrator |
Date |
2013-10-15 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2011
|
050377446
|
2012-10-12
|
DUXBURY AND RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
PO BOX 17088, SMITHFIELD, RI, 02917
|
Plan administrator’s name and address
Administrator’s EIN |
050377446 |
Plan administrator’s name |
DUXBURY AND RAY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
PO BOX 17088, SMITHFIELD, RI, 02917 |
Administrator’s telephone number |
4012323600 |
Signature of
Role |
Plan administrator |
Date |
2012-10-12 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2010
|
050377446
|
2011-10-12
|
DUXBURY AND RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
View Page
|
Three-digit plan number (PN) |
001
|
Effective date of plan |
1998-10-01
|
Business code |
524210
|
Sponsor’s telephone number |
4012323600
|
Plan sponsor’s
address |
P.O. BOX 17088, SMITHFIELD, RI, 029170702
|
Plan administrator’s name and address
Administrator’s EIN |
050377446 |
Plan administrator’s name |
DUXBURY AND RAY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 17088, SMITHFIELD, RI, 029170702 |
Administrator’s telephone number |
4012323600 |
Signature of
Role |
Plan administrator |
Date |
2011-10-12 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
DUXBURY AND RAY INSURANCE AGENCY, INC. 401(K)PLAN
|
2009
|
050377446
|
2010-10-14
|
DUXBURY AND RAY INSURANCE AGENCY, INC.
|
13
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014141253P030010253650001.pdf |
Three-digit plan number (PN) |
001 |
Effective date of plan |
1998-10-01 |
Business code |
524210 |
Sponsor’s telephone number |
4012323600 |
Plan sponsor’s
address |
P.O. BOX 17088, SMITHFIELD, RI, 029170702 |
Plan administrator’s name and address
Administrator’s EIN |
050377446 |
Plan administrator’s name |
DUXBURY AND RAY INSURANCE AGENCY, INC. |
Plan administrator’s
address |
P.O. BOX 17088, SMITHFIELD, RI, 029170702 |
Administrator’s telephone number |
4012323600 |
Signature of
Role |
Plan administrator |
Date |
2010-10-14 |
Name of individual signing |
J. THEODORE RAY |
Valid signature |
Filed with authorized/valid electronic signature |
|
|